Provider Demographics
NPI:1568633642
Name:ESTHER H. TAN, O.D. & ASSOCIATES, L.L.C.
Entity Type:Organization
Organization Name:ESTHER H. TAN, O.D. & ASSOCIATES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:H
Authorized Official - Last Name:TAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:702-434-2441
Mailing Address - Street 1:10624 S EASTERN AVE
Mailing Address - Street 2:STE. A-200
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2982
Mailing Address - Country:US
Mailing Address - Phone:702-434-2441
Mailing Address - Fax:702-434-6409
Practice Address - Street 1:540 MARKS ST
Practice Address - Street 2:STE. 1
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-6654
Practice Address - Country:US
Practice Address - Phone:702-434-2441
Practice Address - Fax:702-434-6409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV428152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty