Mina Chen Od Corp
Optometrist in Petaluma, CA. Organization (NPI-2).
NPI number1942881180
StatusActive
Last updated in NPPESApr 19, 2021
Details
- NPI
- 1942881180
- Entity type
- Organization (NPI-2)
- Legal business name
- Mina Chen Od Corp
- Organization subpart
- No
- Enumeration date
- Apr 19, 2021
- Certification date
- Apr 19, 2021
- Last updated
- Apr 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
157 Petaluma Blvd NPetaluma, CA 94952-2904
Phone 707-285-7475 · Fax 707-285-7476
Mailing address
561 Carlson Ave Apt 332Rohnert Park, CA 94928-2801
Phone 510-709-7294
Authorized official
Mina Chen
Optometrist, Owner
5107097294
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- Laura Carter, OD, MPHNPI 1932834355
- Frank Chao, O.D.NPI 1639228448
- Mina Chen, ODNPI 1982263265
- Junn Cho, ODNPI 1609596535
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All 22 Optometrist providers in Petaluma · All 2,210 providers in Petaluma
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