Provider Demographics
NPI:1174838643
Name:TSANG, SUZANNE PATRICIA (OD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:PATRICIA
Last Name:TSANG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2044 S RURAL RD
Mailing Address - Street 2:UNIT D
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-1415
Mailing Address - Country:US
Mailing Address - Phone:480-678-9277
Mailing Address - Fax:
Practice Address - Street 1:2950 N DOBSON RD
Practice Address - Street 2:SUITE 11
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-1800
Practice Address - Country:US
Practice Address - Phone:480-963-8833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1773152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy