Individual
EDDIE CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2508 MISSION ST, SAN FRANCISCO, CA 94110-2512
(415) 824-2374
Mailing address
1419 DOMINICA LN, FOSTER CITY, CA 94404-3964
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
15282TLG
CA
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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