Provider Demographics
NPI:1497323844
Name:DR CHHIM & ASSOCIATES
Entity Type:Organization
Organization Name:DR CHHIM & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SOPHANY
Authorized Official - Middle Name:CHAN
Authorized Official - Last Name:CHHIM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:916-717-6559
Mailing Address - Street 1:5406 CROSSINGS DR STE 102-350
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677-3932
Mailing Address - Country:US
Mailing Address - Phone:916-717-6559
Mailing Address - Fax:
Practice Address - Street 1:5104 COMMONS DR
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-3911
Practice Address - Country:US
Practice Address - Phone:916-652-7512
Practice Address - Fax:916-652-7857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty