Search › New York › 152W00000X
Jackie Chan, O.D
NPI 1366672925 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1883 86th St
1st Floor
Brooklyn, NY 11214 - Phone
- (718) 256-2020
- Fax
- (718) 256-2027
- Organisation at this address
- Eyevista Optometry Of 86, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York