Healthcare Provider Details

I. General information

NPI: 1497955652
Provider Name (Legal Business Name): YUI FREDDY CHIEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: FRED Y CHIEN MD

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 11/10/2020
Certification Date: 11/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 NE MIAMI GARDENS DR STE 203
NORTH MIAMI BEACH FL
33179-4844
US

IV. Provider business mailing address

1400 NE MIAMI GARDENS DR STE 203
NORTH MIAMI BEACH FL
33179-4844
US

V. Phone/Fax

Practice location:
  • Phone: 305-940-1500
  • Fax: 305-940-1501
Mailing address:
  • Phone: 305-940-1500
  • Fax: 305-940-1501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA88393
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME98934
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: