Individual
JOHN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
695 S GREEN VALLEY PKWY, HENDERSON, NV 89052-0404
(909) 263-3465
Mailing address
5581 ANSHAN ST, LAS VEGAS, NV 89148-7719
(909) 263-3465
(661) 869-2708
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
15099
CA
152W00000X
Optometrist
Primary
975
NV
Other
Enumeration date
08/25/2014
Last updated
02/26/2020
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