Individual
DR. JESSE CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
526 NEWFIELD AVE, STAMFORD, CT 06905-3746
(203) 327-1511
(203) 325-4479
Mailing address
526 NEWFIELD AVE, STAMFORD, CT 06905-3746
(203) 327-1511
(203) 325-4479
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002602
CT
152W00000X
Optometrist
VUT006536
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02592923
—
NY
Enumeration date
02/14/2006
Last updated
03/11/2013
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