IndividualActive
Andrew Ta, O.D.
NPI 1891177895 · Optometrist · Tacoma, WA
Provider details
- NPI number
- 1891177895
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- OEG003067 (PA)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
9600 Veterans Dr Sw Bldg 6
Tacoma, WA 98493-2223
Phone: (253) 583-1250
Approximate (ZIP-level) locationGet directions
Mailing address
9600 Veterans Dr Sw Bldg 6
Tacoma, WA 98493-0003
Registry dates
- Enumerated
- 2015-06-25
- Last updated
- 2023-07-14
- Certified
- 2023-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.