Isaac Chine De Jenga in Tyler - Optometrist
Isaac Chine De Jenga - NPI 1992853444
Isaac Chine De Jenga is a Optometrist in Tyler, Texas. Isaac Chine De Jenga practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Isaac Chine De Jenga is 1992853444. The last update date is 2007-07-08.
Isaac Chine De Jenga's current location address is 3820 State Highway 64 W, Tyler, Texas. You can contact this provider via phone number 9035263937. The mailing address for Isaac Chine De Jenga is 3820 State Highway 64 W, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Isaac Chine De Jenga |
|---|---|
| Address | 3820 State Highway 64 W, Tyler, Texas |
| Phone Number | 9035263937 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1992853444 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3820 State Highway 64 W |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757046924 |
| Phone Number | 9035263937 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 6165 T |
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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 |
|---|---|---|---|
| 30189 | SUPERIOR VISION | ||
| 454178 | NVA | ||
| 920804 | BLOCK VISION | ||
| 26336 | M EDICAL EYE SERVICES | ||
| 19694 | LIFE RE | ||
| 10823 | SVS FORD | ||
| 0051FC | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Isaac Chine De Jenga by the Centers for Medicare & Medicaid Services?
The Isaac Chine De Jenga has been issued the NPI (National Provider Identifier) 1992853444 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Isaac Chine De Jenga is physically located?
The Isaac Chine De Jenga is situated at the following address: 3820 State Highway 64 W, Tyler, TX 757046924.
What is the Isaac Chine De Jenga's area of specialization and corresponding taxonomy classification?
The Isaac Chine De Jenga's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992853444 to Isaac Chine De Jenga?
The Centers for Medicare & Medicaid Services originally issued the 1992853444 to Isaac Chine De Jenga on 2007-01-08.
When was the Isaac Chine De Jenga's information last updated?
The Isaac Chine De Jenga's information was last updated on 2007-07-08.