Provider Demographics
NPI:1194336602
Name:TAPUWA L. CHIKWINYA, PLLC
Entity type:Organization
Organization Name:TAPUWA L. CHIKWINYA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAPUWA
Authorized Official - Middle Name:LAMOORE
Authorized Official - Last Name:CHIKWINYA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:253-583-4232
Mailing Address - Street 1:4914 N 11TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-3110
Mailing Address - Country:US
Mailing Address - Phone:253-583-4232
Mailing Address - Fax:
Practice Address - Street 1:6004 WESTGATE BLVD STE 180
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-2503
Practice Address - Country:US
Practice Address - Phone:253-205-0873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-10
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Single Specialty