Provider Demographics
NPI:1356308894
Name:CHIH, ANDREEA (OD)
Entity Type:Individual
Prefix:DR
First Name:ANDREEA
Middle Name:
Last Name:CHIH
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 1:940 VILLAGE TRL
Mailing Address - Street 2:5-106
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32127-9376
Mailing Address - Country:US
Mailing Address - Phone:407-403-7170
Mailing Address - Fax:
Practice Address - Street 1:330 CANAL ST
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA
Practice Address - State:FL
Practice Address - Zip Code:32168-7008
Practice Address - Country:US
Practice Address - Phone:386-423-5190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4010152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist