Individual
DR. JACK CHIA SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2200 HARBOR BLVD, STE D130, COSTA MESA, CA 92627
(949) 642-7882
(949) 642-7792
Mailing address
2200 HARBOR BLVD, STE D130, COSTA MESA, CA 92627
(949) 642-7882
(949) 642-7792
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11538TPL
CA
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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