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General NPI Number Information
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NPI Number | 1629329875
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Entity Type | Organization
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Legal Business Name | CHAN EYE CARE, PLLC
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 1925 LANDSTOWN CENTRE WAY SUITE 250
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-1645
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Country | US
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Telephone | 757-430-8800
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Fax | 757-430-8801
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Provider Business Mailing Address
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Address Line | 1925 LANDSTOWN CENTRE WAY SUITE 250
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-1645
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Country | US
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Telephone | 757-430-8800
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Fax | 757-430-8801
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Authorized Official
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Title or Position | OWNER
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Name | DR. ZOEE CHAN-PEREZ
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Credential | O.D.
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Telephone | 757-430-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618001176
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License Number State | VA
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