Provider Demographics
NPI:1548468069
Name:TAMPOYA, JEREMIAH M (OD)
Entity type:Individual
Prefix:DR
First Name:JEREMIAH
Middle Name:M
Last Name:TAMPOYA
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:28039 SCOTT RD
Mailing Address - Street 2:STE F
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-7479
Mailing Address - Country:US
Mailing Address - Phone:951-301-3626
Mailing Address - Fax:951-301-8970
Practice Address - Street 1:28039 SCOTT RD
Practice Address - Street 2:STE F
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-7479
Practice Address - Country:US
Practice Address - Phone:951-301-3626
Practice Address - Fax:951-301-8970
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2022-02-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA13282152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist