Provider Demographics
NPI:1407036130
Name:OLIVER CHIEN, O.D.
Entity Type:Organization
Organization Name:OLIVER CHIEN, O.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZHONGJIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:QIAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:206-838-1096
Mailing Address - Street 1:900 S JACKSON ST
Mailing Address - Street 2:SUITE 216
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3058
Mailing Address - Country:US
Mailing Address - Phone:206-838-1096
Mailing Address - Fax:206-838-1093
Practice Address - Street 1:900 S JACKSON ST
Practice Address - Street 2:SUITE 216
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3058
Practice Address - Country:US
Practice Address - Phone:206-838-1096
Practice Address - Fax:206-838-1093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD00003076152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2017234Medicaid