Tanya K Mahaphon, O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

12138TPA Issued in CA

Practice address

2291 Soscol Ave
Napa, CA 94558-3620

Phone

(707) 253-7111

Fax

(707) 253-7192

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Spy Vision Care Optometry, Inc

  • Vision Therapy Optometrist
  • Napa, CA
  • NPI 1952477416
  Medicare reassignment NPD Authorized official
• Nova Southeastern University, Inc

  • Family Medicine Physician
  • Davie, FL
  • NPI 1447345517
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003918012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 SOSCOL AVE",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583620",
            "telephone_number": "707-253-7111",
            "fax_number": "707-253-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 SOSCOL AVE",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583620",
            "telephone_number": "707-253-7111",
            "fax_number": "707-253-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAPHON",
        "first_name": "TANYA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "12138TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Magana
• Alyssa Magbuhat
• Grace Freeberg Magnini, CERTIFIED DOULA
• Jessie Rose Maguire, DPT
• Ramona Mah
• Sarah Mahoney
• Rene Andre Maillard, P.T.
• Heather L Maine, FNP-BC
• Paul Andrew Maison, D.C.
• Christine Mak

• Vision Therapy Optometrist in Napa, CA
• Providers in Napa, CA by specialty
• Vision Therapy Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.