Provider Demographics
NPI:1023401064
Name:TIFFANY A TORRANS OD PA
Entity type:Organization
Organization Name:TIFFANY A TORRANS OD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MALONE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:850-491-0107
Mailing Address - Street 1:15331 SUNRAY RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-1449
Mailing Address - Country:US
Mailing Address - Phone:850-491-0107
Mailing Address - Fax:850-219-0077
Practice Address - Street 1:1394 TIMBERLANE RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32312-1766
Practice Address - Country:US
Practice Address - Phone:850-491-0107
Practice Address - Fax:850-219-0077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-16
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty