Provider Demographics
NPI:1679050553
Name:TSAI, PEI-YU (OD)
Entity Type:Individual
Prefix:
First Name:PEI-YU
Middle Name:
Last Name:TSAI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:PEI-YU
Other - Middle Name:
Other - Last Name:KAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:3341 LAKESHORE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-2305
Mailing Address - Country:US
Mailing Address - Phone:510-832-3937
Mailing Address - Fax:
Practice Address - Street 1:3341 LAKESHORE AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-2305
Practice Address - Country:US
Practice Address - Phone:510-832-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-24
Last Update Date:2018-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34005TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist