Provider Demographics
NPI:1992149561
Name:CHIANG, DAVID ARTHUR (OD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ARTHUR
Last Name:CHIANG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CORPORATE WOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12211-2524
Mailing Address - Country:US
Mailing Address - Phone:518-426-1189
Mailing Address - Fax:518-426-2358
Practice Address - Street 1:12 CORPORATE WOODS BLVD
Practice Address - Street 2:LASIKPLUS
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12211-2524
Practice Address - Country:US
Practice Address - Phone:518-426-1189
Practice Address - Fax:518-426-2358
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-25
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005938152W00000X
MA423152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist