Healthcare Provider Details

I. General information

NPI: 1629333034
Provider Name (Legal Business Name): YUNG-HAN CHEN O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2012
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MADISON AVE
NEW YORK NY
10010-1617
US

IV. Provider business mailing address

50 MADISON AVE
NEW YORK NY
10010-1617
US

V. Phone/Fax

Practice location:
  • Phone: 212-366-1010
  • Fax: 212-823-2008
Mailing address:
  • Phone: 212-366-1010
  • Fax: 212-823-2008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number6111
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License NumberTUV007952-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: