Individual
DR. GREGORY WAYNE CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
11423 SW 40TH ST, MIAMI, FL 33165-3311
(305) 551-6200
(305) 551-3696
Mailing address
11423 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
02/19/2007
Last updated
10/01/2023
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