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NPI Code Detail

MEDICARE: HILARY KAY CHIEM O.D.

MEDICARE: HILARY KAY CHIEM O.D.
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
1152W00000XOptometrist8647TTX
2152W00000XOptometrist15330CA

General Provider Information

NPI Number : 1265815609
Entity Type Code : Individual
Provider Name (Legal Business Name) : HILARY KAY CHIEM O.D.
Provider Business Mailing Address
First Line : 201 MIRALUNA DR
Second Line :
City : SAN BRUNO
State : CA
Zip : 94066-1765
Country : US
Telephone Number : 650-243-7584
Fax Number : 650-212-0279
Provider Business Practice Location Address
First Line : 2220 BRIDGEPOINTE PKWY
Second Line :
City : FOSTER CITY
State : CA
Zip : 94404-1569
Country : US
Telephone Number : 650-243-7584
Fax Number : 650-212-0279
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2015
Last Update Date : 01/07/2022

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