Provider Demographics
NPI:1013552421
Name:TSANG, SAI KA (OD)
Entity Type:Individual
Prefix:DR
First Name:SAI KA
Middle Name:
Last Name:TSANG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 WHITEWELD TER
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2669
Mailing Address - Country:US
Mailing Address - Phone:201-993-1655
Mailing Address - Fax:
Practice Address - Street 1:150 WILLIAM STREET
Practice Address - Street 2:PRIDE OPTICAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038
Practice Address - Country:US
Practice Address - Phone:212-227-9893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-08
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV009055-01152W00000X
NJ27OA00692900152W00000X
NJ27OM00160500152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist