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NPI Code Detail

MEDICARE: ATHENA CHEN OD

MEDICARE:   ATHENA  CHEN  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
1152W00000XOptometrist011365NY

General Provider Information

NPI Number : 1376403253
Entity Type Code : Individual
Provider Name (Legal Business Name) : ATHENA CHEN OD
Provider Business Mailing Address
First Line : 128 MOTT ST
Second Line :
City : NEW YORK
State : NY
Zip : 10013-5540
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 128 MOTT ST
Second Line :
City : NEW YORK
State : NY
Zip : 10013-5540
Country : US
Telephone Number : 212-732-0073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2025
Last Update Date : 03/12/2026

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Directions to “ ATHENA CHEN OD” Practice Location

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