Organization Active NPI

Tani Eye Associates & Clinic PA

  • Ophthalmology Physician
  • Saint Paul, MN
National Provider Identifier
1780692434
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
315 Issued in MN
Legal business name
TANI EYE ASSOCIATES & CLINIC PA
Practice address
17 West Exchange St
Ste 200 Gallery Building
St Paul, MN 55102-1222
Phone
(651) 227-8275
Fax
(651) 298-0160
NPI assigned
Aug 4, 2006
Last updated
Jan 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Dr. Douglas George Tani, MD
Title
President
Phone
(651) 227-8275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 315 MN Primary

Addresses

Primary practice location

17 West Exchange St
Ste 200 Gallery Building
St Paul, MN 55102-1222

Mailing address

17 West Exchange St
Ste 200 Gallery Building
St Paul, MN 55102-1222
Phone (651) 227-8275

National Provider Directory

National Provider Directory

Locations

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

345 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1780692434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WEST EXCHANGE ST",
            "address_2": "STE 200 GALLERY BUILDING",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551021222",
            "telephone_number": "651-227-8275",
            "fax_number": "651-298-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WEST EXCHANGE ST",
            "address_2": "STE 200 GALLERY BUILDING",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551021222",
            "telephone_number": "651-227-8275",
            "fax_number": "651-298-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANI EYE ASSOCIATES & CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "TANI",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-227-8275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.