Provider Demographics
NPI:1265645816
Name:CHI, SUHUI (OD)
Entity Type:Individual
Prefix:
First Name:SUHUI
Middle Name:
Last Name:CHI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ELAINA
Other - Middle Name:
Other - Last Name:CHI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:5254 RHONDA DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-4260
Mailing Address - Country:US
Mailing Address - Phone:408-737-7007
Mailing Address - Fax:408-737-7009
Practice Address - Street 1:1021 S. WOLFE RD
Practice Address - Street 2:SUITE 145
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086
Practice Address - Country:US
Practice Address - Phone:408-737-7007
Practice Address - Fax:408-737-7009
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11557T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist