Organization
WILLIE Y W CHEN MD PC INC
Active
Other names
Chen Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIE Y.W CHEN M.D (CEO)
(770) 448-5587
Entity
Organization
Contact information
Practice address
5825 BUFORD HWY, SUITE 100, NORCROSS, GA 30071-2545
(770) 448-5587
(770) 448-4086
Mailing address
5825 BUFORD HWY, SUITE 100, NORCROSS, GA 30071-2545
(770) 448-5587
(770) 448-4086
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT001796
GA
152W00000X
Optometrist
OPT002370
GA
207W00000X
Ophthalmology Physician
Primary
046583
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046583
STATE LICENSE
GA
01
—
OPT001796
STATE LICENSE
GA
01
—
OPT002370
STATE LICENSE
GA
Enumeration date
03/05/2009
Last updated
08/21/2015
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