MEDICARE: CHRISTINE CHEA O.D. P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	TUV007994	NY

General Provider Information

NPI Number	:	1609271972
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTINE CHEA O.D. P.C.

Provider Business Mailing Address
First Line	:	1837 HENDRICKSON ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4519
Country	:	US
Telephone Number	:	917-596-0979
Fax Number	:

Provider Business Practice Location Address
First Line	:	1837 HENDRICKSON ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4519
Country	:	US
Telephone Number	:	917-596-0979
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHRISTINE CHEA
Credential	:
Telephone Number	:	917-596-0979

Provider Enumeration Date	:	10/29/2014
Last Update Date	:	10/29/2014

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