Provider Demographics
NPI:1790207132
Name:TANG, BIANCA W (OD)
Entity Type:Individual
Prefix:DR
First Name:BIANCA
Middle Name:W
Last Name:TANG
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:44 E BROAD ST STE 105
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5946
Practice Address - Country:US
Practice Address - Phone:610-867-0588
Practice Address - Fax:610-867-1057
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2020-05-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOEG003299152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist