Provider Demographics
NPI:1700105582
Name:GEE, TAMARA K (OD)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:K
Last Name:GEE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3501 JAMBOREE RD
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2939
Mailing Address - Country:US
Mailing Address - Phone:949-951-1457
Mailing Address - Fax:949-768-8902
Practice Address - Street 1:3501 JAMBOREE RD
Practice Address - Street 2:SUITE 1100
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2939
Practice Address - Country:US
Practice Address - Phone:949-951-1457
Practice Address - Fax:949-768-8902
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11305T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist