| Tango Vision, Inc. | |
|
215 Balsam St N Cambridge MN 55008-5814 | |
| (763) 689-3774 | |
| (763) 689-3792 |
| Full Name | Tango Vision, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 215 Balsam St N, Cambridge, Minnesota |
| Authorized Official Name and Position | Louis Kon-wai Lee (OWNER) |
| Authorized Official Contact | 4153369328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tango Vision, Inc. 778 Parkside Ln Columbia Heights MN 55421-5001 Ph: (415) 336-9328 | Tango Vision, Inc. 215 Balsam St N Cambridge MN 55008-5814 Ph: (763) 689-3774 |
| NPI Number | 1184963878 |
|---|---|
| Provider Enumeration Date | 01/31/2013 |
| Last Update Date | 02/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184963878 | NPI | - | NPPES |
| 3266 | Other | MN | OPTOMETRY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3266 (Minnesota) | Primary |
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