Provider Demographics
NPI:1558405803
Name:CHAN, ZOEE (OD)
Entity Type:Individual
Prefix:DR
First Name:ZOEE
Middle Name:
Last Name:CHAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ZOEE
Other - Middle Name:
Other - Last Name:CHAN-PEREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:2021 JOLIET CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-5718
Mailing Address - Country:US
Mailing Address - Phone:757-470-1334
Mailing Address - Fax:
Practice Address - Street 1:1925 LANDSTOWN CENTRE WAY
Practice Address - Street 2:STE 250
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-1649
Practice Address - Country:US
Practice Address - Phone:757-430-8800
Practice Address - Fax:757-430-8801
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001176152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist