Individual
DR. JENNY Y CHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
221 ADDISON RD., SUITE 105, GLASTONBURY, CT 06033-5608
(860) 838-3838
(860) 838-3840
Mailing address
221 ADDISON RD., SUITE 105, GLASTONBURY, CT 06033-5608
(860) 838-3838
(860) 838-3840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2469
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090002469CT13
BC/BS
CT
01
—
2204101
UNITED HEALTHCARE ID#
CT
01
—
2545530
AETNA ID #
CT
01
—
785099
CONNECTICARE ID #
CT
05
—
8058685
—
CT
01
—
CT2469
EYEMED ID#
CT
01
—
OV8875
HEALTHNET ID #
CT
Enumeration date
10/27/2006
Last updated
08/18/2023
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