Healthcare Provider Details

I. General information

NPI: 1235045840
Provider Name (Legal Business Name): IEA CHELSEA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 W 12TH ST OFC 1A
NEW YORK NY
10011-8275
US

IV. Provider business mailing address

175 W 12TH ST OFC 1A
NEW YORK NY
10011-8275
US

V. Phone/Fax

Practice location:
  • Phone: 347-881-5087
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ALLISON NGUYEN
Title or Position: OPTOMETRIST
Credential: OD
Phone: 714-417-1605