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BRENT CHIN OD INC PS NPI 1003970823


NPI Information

NPI: 1003970823
Provider Name: BRENT CHIN OD INC PS
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
32717 1ST AVE S
STE.6
FEDERAL WAY, WA
ZIP 98003
Phone: (253) 838-5428
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BRENT CHIN OD INC PS is a corneal and contact management optometrist in Federal Way, WA. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. BRENT CHIN OD INC PS NPI is 1003970823. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

32717 1ST AVE S
STE.6
FEDERAL WAY, WA
ZIP 98003-758
Phone: (253) 838-5428
Fax: (253) 838-0875

The provider's authorized official is Brent Chin .
The authorized official title is President and has the following contact phone number (253) 838-5428.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 6/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WC0802XOptometristCorneal and Contact ManagementOD00003778TXWASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16088600001MEDICARE NSCWASHINGTON
20550070001MEDICARE NSCWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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