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NPI Code Detail

MEDICARE: THOMAS CHAO O.D.

MEDICARE:   THOMAS  CHAO  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
1152W00000XOptometrist004983NY

General Provider Information

NPI Number : 1801974860
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS CHAO O.D.
Provider Business Mailing Address
First Line : 6254 97TH PL
Second Line : APT 3H
City : REGO PARK
State : NY
Zip : 11374-1346
Country : US
Telephone Number : 718-836-6661
Fax Number : 718-836-0801
Provider Business Practice Location Address
First Line : 7801 4TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-3701
Country : US
Telephone Number : 718-836-6661
Fax Number : 718-836-0801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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