NPI 1003481391

Tanya Marie Vigdal, OD

Practitioner Optometrist Kennett Square, PA

Practice location

Address: 841 E Baltimore Pike, Kennett Square, PA 19348-1801
Phone: (610) 444-5252
Mailing address: 1950 Old Gallows Rd STE 520, Vienna, VA 22182-3970

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OEG003789 (PA)

Other Optometrist providers in Pennsylvania →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Pennsylvania →

Registry record

NPI: 1003481391
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 May 2021
Record last updated: 24 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.