MEDICARE: CHIA YU 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
1	152W00000X	Optometrist	34251TLG	CA
2	152W00000X	Optometrist	OD-995-0	HI

General Provider Information

NPI Number	:	1811549223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIA YU CHEN OD

Provider Business Mailing Address
First Line	:	45-1123 KAMEHAMEHA HWY STE 201
Second Line	:
City	:	KANEOHE
State	:	HI
Zip	:	96744-3242
Country	:	US
Telephone Number	:	88-247-6696
Fax Number	:	808-247-6665

Provider Business Practice Location Address
First Line	:	4725 BOUGAINVILLE DR
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96818-3179
Country	:	US
Telephone Number	:	808-312-3878
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2019
Last Update Date	:	05/02/2025

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Directions to “ CHIA YU CHEN OD” Practice Location

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