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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2532174 | Medicaid | OH |
Other names 1
- Wood County Eye & Glaucoma Center
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Toledo, OH
- NPI 1205871787
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.