Provider Demographics
NPI:1467121558
Name:CHEN ROMERO, TIFFANY T (OD)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:T
Last Name:CHEN ROMERO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:42543 8TH ST W STE 101
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-7200
Mailing Address - Country:US
Mailing Address - Phone:661-948-4373
Mailing Address - Fax:661-948-6216
Practice Address - Street 1:42543 8TH ST W STE 101
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-7200
Practice Address - Country:US
Practice Address - Phone:661-948-4373
Practice Address - Fax:661-948-6216
Is Sole Proprietor?:No
Enumeration Date:2021-09-10
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT34967152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management