Chan, Susana

Chan, Susana is an individual health care provider with primary practice located at 387 Waterman Ave , East Providence RI 02914-2618. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Chan, Susana can be contacted via phone (401) 453-5800.

Contact Information

Primary practice address
387 Waterman Ave East Providence RI 02914-2618
Phone: (401) 453-5800
Fax: (401) 271-6867
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODTG00518 Rhode Island

Profile Details

NPI number 1619002854
LBN Legal business name Chan, Susana
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jun 10th, 2024 - about last year

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 1619002854 NPPES
Other 23-77354 UNITED HEALTHCARE
Other 32425 UNITED HEALTHCARE
Other 414188 UNITED HEALTHCARE
MEDICAID 9082077 UNITED HEALTHCARE
Other 0000032701 UNITED HEALTHCARE

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