Individual
DR. CONNIE WINNIE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
139 ENDICOTT ST, ENDICOTT PLAZA, MASS OPTOMETRIC ASSOCIATES, P. C., DANVERS, MA 01923-4803
(978) 777-4700
(978) 750-0862
Mailing address
2921 ERIE BLVD E, EMPIRE VISION CENTER, INC, SYRACUSE, NY 13224-1430
(315) 446-3145
(315) 445-7675
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4531
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0703494
—
MA
01
—
W16427
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/14/2006
Last updated
11/09/2007
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