Wendy Tam, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13979T Issued in CA

Practice address

3370 S Bristol St
Santa Ana, CA 92704-8203

Phone

(714) 641-5951

Fax

(714) 641-5953

NPI assigned

Sep 20, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Luxottica of America Inc.

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1447568860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 S BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927048203",
            "telephone_number": "714-641-5913",
            "fax_number": "714-641-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 S BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927048203",
            "telephone_number": "714-641-5951",
            "fax_number": "714-641-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13979T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Talbert, PPS
• Veronica Lynn Tallant, LMFT # 45832
• Angelica T Talley, LCSW
• Angelyn Ophelia Tallmon
• Neeli Megha Talluri, FNP
• Brenda Maria Tamara
• Sophia Sakura Tamashiro
• Judith Tamayo-Nikolenko, SLP
• Juliana Tamayo
• Laura Tambare

• Optometrist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.