Individual provider Active NPI

Ruth Tang, O.D.

  • Corneal and Contact Management Optometrist
  • Irvine, CA
National Provider Identifier
1043283500
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OP10173 Issued in CA
Practice address
17585 Harvard Avenue
Suite E
Irvine, CA 92614
Phone
(949) 477-2424
Fax
(949) 477-2444
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OP10173 CA Primary

Addresses

Primary practice location

17585 Harvard Avenue
Suite E
Irvine, CA 92614

Mailing address

17585 Harvard Avenue
Suite E
Irvine, CA 92614
Phone (949) 477-2424

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140630001238 CA Practitioner - Optometry 6709001019 Practice locations: Irvine, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP10173CAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Third Optometric Care of California PC CurrentSince May 19, 2021 Accepting new patients
Third Optometric Care of California PC CurrentSince May 19, 2021 Accepting new patients
Third Optometric Care of California Current Accepting new patients

Locations

17585 Harvard Ave
Ste E
Irvine, CA 92614
Phone (949) 477-2424

15333 Culver Dr
Ste 690
Irvine, CA 92604
Phone (949) 552-4271

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1043283500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17585 HARVARD AVENUE",
            "address_2": "SUITE E",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92614",
            "telephone_number": "949-477-2424",
            "fax_number": "949-477-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17585 HARVARD AVENUE",
            "address_2": "SUITE E",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92614",
            "telephone_number": "949-477-2424",
            "fax_number": "949-477-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "OP10173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.