Active NPIIndividual provider

Susana Chan, OD

Optometrist in East Providence, Rhode Island

NPI Number1619002854
Practice location
387 Waterman Ave, East Providence, RI 02914-2618
Fax
401-271-6867
Last updated
June 10, 2024

Susana Chan is an Optometrist based in East Providence, RI. Susana Chan practices in East Providence, RI and has the professional credentials of OD. The NPI Number for Susana Chan is 1619002854 and holds a License No. ODTG00518 (RI). The current practice location address for Susana Chan is 387 Waterman Ave, East Providence, RI 02914-2618 and can be reached out via phone at 401-453-5800 and via fax at 401-271-6867.

Provider Profile Details

NPI Number
1619002854
Provider Name
Susana Chan
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
387 Waterman Ave, East Providence, RI 02914-2618
Phone Number
401-453-5800
Fax Number
401-271-6867
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
February 21, 2007
Last Update Date
June 10, 2024
Certification Date
June 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
387 Waterman Ave
East Providence, RI 02914-2618
Zip
02914-2618
Phone Number
401-453-5800
Fax Number
401-271-6867
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
387 Waterman Ave
East Providence, RI 02914-2618
City
East Providence
State
RI
Zip
02914-2618
Phone Number
401-453-5800
Fax Number
401-271-6867

License Information

License Number
ODTG00518
License State
RI
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susana Chan, OD?

The NPI number of Susana Chan, OD is 1619002854. It was assigned on February 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Susana Chan, OD?

Susana Chan, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in RI under license number ODTG00518.

Where does Susana Chan, OD practice?

The practice location is 387 Waterman Ave, East Providence, RI 02914-2618. The office can be reached at 401-453-5800 (phone) or 401-271-6867 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619002854 directly on the NPPES registry website.

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