NPIMap

Organization Active NPI

Joanna Tam OD LLC

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1124303938
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003550A Issued in IN
Legal business name
JOANNA TAM OD LLC
Practice address
5345 Winthrop Ave
Suite D
Indianapolis, IN 46220-3278
Phone
(317) 721-2154
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Dr. Joanna Tam, O.DNPI 1437308871
Title
Owner
Phone
(317) 721-2154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18003550A IN Primary

Addresses

Primary practice location

5345 Winthrop Ave
Suite D
Indianapolis, IN 46220-3278

Mailing address

5345 Winthrop Ave
Suite D
Indianapolis, IN 46220-3278
Phone (317) 721-2154

National Provider Directory

National Provider Directory

Locations

5345 Winthrop Ave
Ste D
Indianapolis, IN 46220
Phone (317) 721-2154

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1124303938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 WINTHROP AVE",
            "address_2": "SUITE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203278",
            "telephone_number": "317-721-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 WINTHROP AVE",
            "address_2": "SUITE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203278",
            "telephone_number": "317-721-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNA TAM OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "TAM",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-721-2154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003550A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.