Provider Demographics
NPI:1033559919
Name:CHAUDHARY, HAFSA (OD)
Entity Type:Individual
Prefix:DR
First Name:HAFSA
Middle Name:
Last Name:CHAUDHARY
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 1:207 WALNUT HILL RD
Mailing Address - Street 2:D11
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-6520
Mailing Address - Country:US
Mailing Address - Phone:484-716-9932
Mailing Address - Fax:
Practice Address - Street 1:207 WALNUT HILL RD
Practice Address - Street 2:SUITE D11
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-6520
Practice Address - Country:US
Practice Address - Phone:484-716-9932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002811152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist