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NPI Code Detail

MEDICARE: DR. DIANA CHAU OD

MEDICARE: DR. DIANA CHAU OD
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
1152W00000XOptometristOD61288124WA

General Provider Information

NPI Number : 1023749041
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANA CHAU OD
Provider Business Mailing Address
First Line : 2182 ORCHARD WAY
Second Line :
City : ROHNERT PARK
State : CA
Zip : 94928-2397
Country : US
Telephone Number : 877-457-4772
Fax Number :
Provider Business Practice Location Address
First Line : 9800 4TH AVE NE
Second Line :
City : SEATTLE
State : WA
Zip : 98115-2152
Country : US
Telephone Number : 206-302-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2022
Last Update Date : 02/10/2026

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