Provider Demographics
NPI:1841785037
Name:TSUI, NANCY (OD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:TSUI
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 1:71 LUNAR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-1315
Mailing Address - Country:US
Mailing Address - Phone:714-515-2597
Mailing Address - Fax:
Practice Address - Street 1:500 S ANAHEIM HILLS RD STE 234
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-4760
Practice Address - Country:US
Practice Address - Phone:714-921-0232
Practice Address - Fax:714-921-0535
Is Sole Proprietor?:No
Enumeration Date:2018-06-29
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT33944-TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist