Provider Demographics
NPI:1265815609
Name:CHIEM, HILARY KAY (OD)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:KAY
Last Name:CHIEM
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 1:201 MIRALUNA DR
Mailing Address - Street 2:
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066-1765
Mailing Address - Country:US
Mailing Address - Phone:650-243-7584
Mailing Address - Fax:650-212-0279
Practice Address - Street 1:2220 BRIDGEPOINTE PKWY
Practice Address - Street 2:
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-1569
Practice Address - Country:US
Practice Address - Phone:650-243-7584
Practice Address - Fax:650-212-0279
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-02
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8647T152W00000X
CA15330152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist