Sudaporn Tanpattana, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006712 Issued in NY

Practice address

55 Parsonage Rd
Unit 501
Edison, NJ 08837-2480

Phone

(732) 548-7337

NPI assigned

Jan 23, 2007

Last updated

Sep 28, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

State University of New York - State College Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverdale Vision Care, P.a.Group PAC ID 1456417138, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverdale Vision Care, P.a.

  • Optometrist
  • Riverdale, NJ
  • NPI 1255581609
  Medicare reassignment Care Compare group NPD Authorized official
• TML Vision Care, LLC

  dba Pearle Vision East Hanover

  • Optometrist
  • East Hanover, NJ
  • NPI 1275806929
  Medicare reassignment NPD
• Contact Lens and Vision Associates, P.a

  • Optometrist
  • Freehold, NJ
  • NPI 1922211978
  NPD (past)
• Contact Lens and Vision Consultants, P.a

  • Optometrist
  • Woodbridge, NJ
  • NPI 1568674497
  NPD (past)
• State of New York Comptrollers Office

  dba Suny College of Optometry/University Eye Center

  • Optometrist
  • New York, NY
  • NPI 1407829856
  NPD (past)
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1285788471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PARSONAGE RD",
            "address_2": "UNIT 501",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372480",
            "telephone_number": "732-548-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PARSONAGE RD",
            "address_2": "UNIT 501",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372480",
            "telephone_number": "732-548-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANPATTANA",
        "first_name": "SUDAPORN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00594600",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006712",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27TO00133100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Ramos Tan, MD
• Martin Tan, MD
• Bo Tang, MD
• Delphine Tang, DO
• Judith Sharon Tannenbaum, MACCC
• Jeffrey Marc Tanzman, DC
• Jonathan Tapia, OTR
• Tara P. Kanetkar, MD, PA
• Nan Targovnik, M.A.,CCC-A
• Marlene Tarshish, PT

• Optometrist in Edison, NJ
• Providers in Edison, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.