Provider Demographics
NPI:1316468366
Name:DURIG-CHEN, SHEYDA (OD)
Entity type:Individual
Prefix:DR
First Name:SHEYDA
Middle Name:
Last Name:DURIG-CHEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20309 CHAYTON CIR
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-7797
Mailing Address - Country:US
Mailing Address - Phone:512-689-6166
Mailing Address - Fax:
Practice Address - Street 1:5002 GATTIS SCHOOL RD STE 100
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-2028
Practice Address - Country:US
Practice Address - Phone:512-243-7858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9163152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist