Organization
GREGORY W CHIN O D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY WAYNE CHIN O.D. (OPTOMETRIST/PRESIDENT)
(305) 551-6200
Entity
Organization
Contact information
Practice address
11455 SW 40TH ST, MIAMI, FL 33165-3311
(305) 551-6200
(305) 551-3696
Mailing address
11455 SW 40TH ST, MIAMI, FL 33165-3311
(305) 551-6200
(305) 551-3696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3437
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620687500
—
FL
Enumeration date
12/04/2007
Last updated
09/23/2008
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