Individual
JASON J. CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
66 YORK ST, 1ST FLOOR LOWER LEVEL, JERSEY CITY, NJ 07302-3838
(201) 855-9789
Mailing address
66 YORK ST, 1ST FLOOR LOWER LEVEL, JERSEY CITY, NJ 07302-3838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007473
NY
152W00000X
Optometrist
27OA00624500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G400024930
MEDICARE PTAN
NJ
Enumeration date
07/22/2009
Last updated
05/17/2015
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