Provider Demographics
NPI:1306573381
Name:DR. PEI CHI CHAIN, OD, OPTOMETRIC CORPORATION
Entity type:Organization
Organization Name:DR. PEI CHI CHAIN, OD, OPTOMETRIC CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:PEI CHI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:858-250-0052
Mailing Address - Street 1:7835 HIGHLAND VILLAGE PL STE D106
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-5185
Mailing Address - Country:US
Mailing Address - Phone:858-250-0052
Mailing Address - Fax:
Practice Address - Street 1:7835 HIGHLAND VILLAGE PL STE D106
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-5185
Practice Address - Country:US
Practice Address - Phone:858-250-0052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-01
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty