Active NPIIndividual provider

Dr. Ivan Tseng, OD

Optometrist in Ridgewood, New Jersey

NPI Number1083094635
Practice location
1200 E Ridgewood Ave Ste 213, Ridgewood, NJ 07450-3937
Fax
—
Last updated
October 19, 2022

Ivan Tseng is an Optometrist based in Ridgewood, NJ. Ivan Tseng practices in Ridgewood, NJ and has the professional credentials of OD. The NPI Number for Ivan Tseng is 1083094635 and holds a License No. 27OM00136800 (NJ). The current practice location address for Ivan Tseng is 1200 E Ridgewood Ave Ste 213, Ridgewood, NJ 07450-3937 and can be reached out via phone at 201-612-0044.

Provider Profile Details

NPI Number
1083094635
Provider Name
Ivan Tseng
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
1200 E Ridgewood Ave Ste 213, Ridgewood, NJ 07450-3937
Phone Number
201-612-0044
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
June 8, 2015
Last Update Date
October 19, 2022
Certification Date
October 19, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 E Ridgewood Ave Ste 213
Ridgewood, NJ 07450-3937
Zip
07450-3937
Phone Number
201-612-0044
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
431 Westview Pl
Fort Lee, NJ 07024-3916
City
Fort Lee
State
NJ
Zip
07024-3916
Phone Number
201-966-4272

License Information

License Number (1)
27OM00136800
License State (1)
NJ
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
TUV008161-1
License State (2)
NY
Taxonomy (2)
Optometrist · 152W00000X
License Number (3)
27OA00669100
License State (3)
NJ
Taxonomy (3)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ivan Tseng, OD?

The NPI number of Dr. Ivan Tseng, OD is 1083094635. It was assigned on June 8, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Ivan Tseng, OD?

Dr. Ivan Tseng, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OM00136800.

Where does Dr. Ivan Tseng, OD practice?

The practice location is 1200 E Ridgewood Ave Ste 213, Ridgewood, NJ 07450-3937. The office can be reached at 201-612-0044 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083094635 directly on the NPPES registry website.

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