Organization Active NPI

Richard C Tam MD & Christina P Tam MD LLC

Doing business as Wood County Eye & Glaucoma Center

  • Ophthalmology Physician
  • Bowling Green, OH
National Provider Identifier
1952347932
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RICHARD C TAM MD & CHRISTINA P TAM MD LLC
Doing business as
Wood County Eye & Glaucoma Center
Practice address
970 W Wooster St
Suite #224
Bowling Green, OH 43402-2643
Phone
(419) 352-5500
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Richard Tam, M.D.
Title
Principal Officer
Phone
(419) 878-2180

Specialties & licenses 1

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

Addresses

Primary practice location

970 W Wooster St
Suite #224
Bowling Green, OH 43402-2643

Mailing address

8450 Snapdragon LN
Monclova, OH 43542-9617
Phone (419) 878-2180

Other identifiers 1

IdentifierTypeStateIssuer
2532174MedicaidOH

Other names 1

  • Wood County Eye & Glaucoma Center Doing business as

National Provider Directory

National Provider Directory

Locations

970 W Wooster St
Rm 224
Bowling Green, OH 43402
Phone (419) 373-6046

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1952347932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 SNAPDRAGON LN",
            "city": "MONCLOVA",
            "state": "OH",
            "postal_code": "435429617",
            "telephone_number": "419-878-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 W WOOSTER ST",
            "address_2": "SUITE #224",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022643",
            "telephone_number": "419-352-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C TAM MD & CHRISTINA P TAM MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "TAM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRINCIPAL OFFICER",
        "authorized_official_telephone_number": "419-878-2180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2532174",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wood County Eye & Glaucoma Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.