Individual
DR. JUSTIN CHIHYAN PAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
301 ANDREWS AVE, FORT RUCKER, AL 36362-5333
(800) 261-7193
Mailing address
200 LAKE RD APT 411, BELTON, TX 76513-1535
(609) 472-1522
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007747-1
NY
Other
Enumeration date
07/29/2011
Last updated
07/27/2016
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