Individual
DR. JACKIE HUEI-HUAN CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1125 TREMONT ST, ROXBURY CROSSING, MA 02120-2178
(617) 989-3057
Mailing address
75 PETERBOROUGH ST APT 403, BOSTON, MA 02215-4313
(206) 920-9929
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4556
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2025351
—
WA
Enumeration date
11/15/2006
Last updated
01/03/2022
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