Organization
JAIME CHAN OD A PROFESSIONAL CORPORATION
Active
Other names
Oculus Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME CHAN OD (PRESIDENT)
(626) 460-6022
Entity
Organization
Contact information
Practice address
1024 MISSION ST STE B, SOUTH PASADENA, CA 91030-3198
(626) 460-6022
Mailing address
1024 MISSION ST STE B, SOUTH PASADENA, CA 91030-3198
(626) 460-6022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114374220
NPI
CA
01
—
1114374220
NPI
NY
Enumeration date
02/26/2019
Last updated
08/27/2024
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