Chin, Jesse
Chin, Jesse is an individual health care provider with primary practice located at 526 Newfield Ave , Stamford CT 06905-3746. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Chin, Jesse can be contacted via phone (203) 327-1511.Contact Information
Primary practice address
526 Newfield Ave
Stamford CT 06905-3746
Phone: (203) 327-1511
Fax: (203) 325-4479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002602 | Connecticut |
| Eye and Vision Services Providers / Optometrist | 152W00000X | VUT006536 | New York |
Profile Details
| NPI number | 1336113794 |
|---|---|
| LBN Legal business name | Chin, Jesse |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Mar 11th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336113794 | NPPES |
| New York | MEDICAID | 02592923 |
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