Individual
BRENT CHIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
32717 1ST AVE S, FEDERAL WAY, WA 98003-5758
(253) 838-5428
(253) 838-0875
Mailing address
32717 1ST AVE S, STE 6, FEDERAL WAY, WA 98003-5758
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
00003778
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028140
—
WA
Enumeration date
09/26/2005
Last updated
09/21/2017
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