Individual provider Active NPI

Bo San Tsao, O.D.

  • Optometrist
  • Edison, NJ
National Provider Identifier
1255549077
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00569300 Issued in NJ
Practice address
55 Parsonage Rd Unit 368
Edison, NJ 08837-2498
Phone
(732) 906-8081
Fax
(732) 906-7995
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00569300 NJ Primary

Addresses

Primary practice location

55 Parsonage Rd Unit 368
Edison, NJ 08837-2498

Mailing address

2002 Holland Dr
Somerset, NJ 08873-7603
Phone (732) 398-3635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27OA00569300NJMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255549077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 HOLLAND DR",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088737603",
            "telephone_number": "732-398-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PARSONAGE RD UNIT 368",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372498",
            "telephone_number": "732-906-8081",
            "fax_number": "732-906-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAO",
        "first_name": "BO",
        "middle_name": "SAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00569300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.