Provider Demographics
NPI:1083965123
Name:AMY Y CHEN OPTOMETRY P.C.
Entity Type:Organization
Organization Name:AMY Y CHEN OPTOMETRY P.C.
Other - Org Name:ADVANCED EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:718-762-3838
Mailing Address - Street 1:14020 SANFORD AVE
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2679
Mailing Address - Country:US
Mailing Address - Phone:718-762-3838
Mailing Address - Fax:718-762-3591
Practice Address - Street 1:14020 SANFORD AVE
Practice Address - Street 2:SUITE 1C
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2679
Practice Address - Country:US
Practice Address - Phone:718-762-3838
Practice Address - Fax:718-762-3591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV006003152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty