IndividualActive
Jennifer Tam, O.D.
NPI 1063570992 · Vision Therapy Optometrist · La Mesa, CA
Provider details
- NPI number
- 1063570992
- Entity type
- Individual
- Primary specialty
- Vision Therapy OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 12707T (CA)
Practice location
7862 El Cajon Blvd
La Mesa, CA 91942-6712
Phone: (619) 644-6405
Fax: (619) 461-5158
Mailing address
7862 El Cajon Blvd
La Mesa, CA 91942-6712
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2016-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.