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Individual
DR. SIMON CHEN
Active
Individual
DR. SIMON CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12755-T
CA
152WC0802X
Corneal and Contact Management Optometrist
12755-T
CA
152WV0400X
Vision Therapy Optometrist
12755-T
CA
Other
Enumeration date
10/13/2006
Last updated
05/09/2016
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