Active NPIIndividual providerSole proprietor

Dr. Angela Tardanico, OD

Optometrist in Lyons, New Jersey

NPI Number1124114566
Practice location
151 Knollcroft RD, Lyons, NJ 07939-5001
Fax
—
Last updated
July 16, 2007

Angela Tardanico is an Optometrist based in Lyons, NJ. Angela Tardanico practices in Lyons, NJ and has the professional credentials of OD. The NPI Number for Angela Tardanico is 1124114566 and holds a License No. TUV006974 (NY). The current practice location address for Angela Tardanico is 151 Knollcroft RD, Lyons, NJ 07939-5001 and can be reached out via phone at 908-647-0180.

Provider Profile Details

NPI Number
1124114566
Provider Name
Angela Tardanico
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
151 Knollcroft RD, Lyons, NJ 07939-5001
Phone Number
908-647-0180
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 5, 2006
Last Update Date
July 16, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
151 Knollcroft RD
Lyons, NJ 07939-5001
City
Lyons
Zip
07939-5001
Phone Number
908-647-0180
Lyons, NJ 07939Get directions →

Provider Business Mailing Address Details

Address
151 Knollcroft RD
Lyons, NJ 07939-5001
City
Lyons
State
NJ
Zip
07939-5001

License Information

License Number
TUV006974
License State
NY
Taxonomy
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. Angela Tardanico, OD?

The NPI number of Dr. Angela Tardanico, OD is 1124114566. It was assigned on October 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Angela Tardanico, OD?

Dr. Angela Tardanico, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NY under license number TUV006974.

Where does Dr. Angela Tardanico, OD practice?

The practice location is 151 Knollcroft RD, Lyons, NJ 07939-5001. The office can be reached at 908-647-0180 (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 1124114566 directly on the NPPES registry website.

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