Organization
DENNIS CHINN O D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS CHINN O.D. (PRESIDENT)
(559) 224-8302
Entity
Organization
Contact information
Practice address
5151 N PALM AVE, 530, FRESNO, CA 93704-2211
(559) 224-8302
Mailing address
5151 N PALM AVE, 530, FRESNO, CA 93704-2211
(559) 224-8302
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3477TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558357145
NPI TYPE 1
CA
01
—
410002873
RAILROAD MEDICARE
CA
05
—
SD0034770
—
CA
Enumeration date
05/22/2008
Last updated
07/30/2010
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