Provider Demographics
NPI:1629140108
Name:TSENG, WINNIE (OD)
Entity Type:Individual
Prefix:DR
First Name:WINNIE
Middle Name:
Last Name:TSENG
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 1:104 MEADOW ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-4026
Mailing Address - Country:US
Mailing Address - Phone:603-444-2592
Mailing Address - Fax:603-444-0804
Practice Address - Street 1:104 MEADOW ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-4026
Practice Address - Country:US
Practice Address - Phone:603-444-2592
Practice Address - Fax:603-444-0804
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0720152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30352511Medicaid
NHRE6806Medicare ID - Type Unspecified
NHU91075Medicare UPIN