# JUSTINE CHEN OD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659458669
- **Authorized official:** DR. JUSTINE NERISSA CHEN O.D. (PRESIDENT)
- **Authorized official phone:** (954) 962-6627

## Contact information

- **Practice address:** 3339 SHERIDAN ST, HOLLYWOOD, FL 33021-3606
- **Practice address phone:** (954) 962-6627
- **Practice address fax:** (954) 962-0910
- **Mailing address:** 3339 SHERIDAN ST, HOLLYWOOD, FL 33021-3606
- **Mailing address phone:** (954) 962-6627
- **Mailing address fax:** (954) 962-0910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 2985 | FL | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020