Wallace Chan is a Optometrist in Chicago, Illinois. Wallace Chan practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Wallace Chan is 1053360735. The last update date is 2008-11-11.
Wallace Chan's current location address is 2126a S Archer Ave, Chicago, Illinois. You can contact this provider via phone number 3129491888 and fax number 3129490288. The mailing address for Wallace Chan is 2126a S Archer Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace Chan |
|---|---|
| Address | 2126a S Archer Ave, Chicago, Illinois |
| Phone Number | 3129491888 |
| Fax Number | 3129490288 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1053360735 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2008-11-11 |
Provider Mailing Address Detail
| Address | 2126a S Archer Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606161514 |
| Phone Number | 3129491888 |
| Fax Number | 3129490288 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 046-008575 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 46008575 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Wallace Chan?
The Wallace Chan has been issued the NPI (National Provider Identifier) 1053360735 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Wallace Chan is geographically located?
The Wallace Chan is physically situated at the following location: 2126A S Archer Ave, Chicago, IL, 606161514.
What is Wallace Chan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Wallace Chan is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
When was the Wallace Chan's 1053360735 issued?
The Wallace Chan's 1053360735 was issued on 2006-05-09.
When was the Wallace Chan's information last updated?
The Wallace Chan's information was last updated on 2008-11-11.