Individual
LISA CHAN-O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006091
NY
152WL0500X
Low Vision Rehabilitation Optometrist
TUV006091
NY
Other
Enumeration date
07/03/2006
Last updated
05/04/2016
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