Provider Demographics
NPI:1407119928
Name:DOAN, TIFFANY A (OD)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:A
Last Name:DOAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1900 PRESTON RD
Mailing Address - Street 2:STE 265
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5203
Mailing Address - Country:US
Mailing Address - Phone:972-519-0006
Mailing Address - Fax:972-519-0669
Practice Address - Street 1:2959 S BUCKNER BLVD
Practice Address - Street 2:SUITE 700
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-6945
Practice Address - Country:US
Practice Address - Phone:214-239-2176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7942T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist