Organization Name: | BRENT CHIN OD INC PS |
NPI Number: | 1003970823 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENT CHIN (PRESIDENT) |
Mailing Address: | 32717 1st Ave S Ste.6 Federal Way |
State: | WA US |
Postal Code: | 980035758 |
Phone Number: | 2538385428 |
Fax Number: | 2538380875 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 06/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | OD00003778TX |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |