Mary Alice a. Tanguay OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2904TG Issued in TX

Legal business name

MARY ALICE A. TANGUAY OD PC

Practice address

1850 E Rosemeade Pkwy
Carrollton, TX 75007-2637

Phone

(972) 492-6588

Fax

(972) 492-5337

NPI assigned

Dec 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mary Alice A Tanguay, O.D.NPI 1467413435

Title

President

Phone

(972) 492-6588

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Alice Adeline Tanguay, OD

  • Optometrist
  • Carrollton, TX
  • NPI 1467413435
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1992073704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116239",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750116239",
            "telephone_number": "972-492-6588",
            "fax_number": "972-492-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E ROSEMEADE PKWY",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072637",
            "telephone_number": "972-492-6588",
            "fax_number": "972-492-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ALICE A. TANGUAY OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "TANGUAY",
        "authorized_official_first_name": "MARY ALICE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-492-6588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2904TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brissa Martinez
• Citlaly Martinez
• Jayme Martinez
• Raul Tomas Martinez, L.A.T.
• Rajvinder Kaur Marwah, DDS, MDS
• Mary Anne Peck, P. C.
• Mary Carmen Esteso DDS PC
• Farshid Marzban, D.C.
• Farzad Marzban, DC
• Gary Charles Mashigian, D.P.M.

• Optometrist in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.