Chan, Roger Stephen

Chan, Roger Stephen is an individual health care provider with primary practice located at 7204 Regional St , Dublin CA 94568-2326. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Chan, Roger Stephen can be contacted via phone (925) 803-1010.

Contact Information

Primary practice address
7204 Regional St Dublin CA 94568-2326
Fax: (925) 803-1030
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9659 California

Profile Details

NPI number 1912969221
LBN Legal business name Chan, Roger Stephen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Sep 4th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912969221 NPPES
California MEDICAID SD0096590

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