Provider Demographics
NPI:1679758353
Name:DAVY M. CHIN
Entity Type:Organization
Organization Name:DAVY M. CHIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVY
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-286-3088
Mailing Address - Street 1:4311 OAK TRAIL CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3105
Mailing Address - Country:US
Mailing Address - Phone:281-286-3088
Mailing Address - Fax:
Practice Address - Street 1:19210 GULF FWY
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-2705
Practice Address - Country:US
Practice Address - Phone:281-286-3088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2826TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
919830OtherBLOCK VISION OF TEXAS
1988OtherDAVIS VISION
05311OtherSPECTERA
TX093177601Medicaid
451891OtherNATIONAL VISION ADMINISTRATORS
TX0090FGOtherBLUE CROSS BLUE SHIELD
11481OtherFORD UAW SVS
919830OtherBLOCK VISION OF TEXAS
=========OtherAVESIS
05311OtherSPECTERA
1988OtherDAVIS VISION
=========OtherTML
=========OtherTRICARE SOUTH REGION
451891OtherNATIONAL VISION ADMINISTRATORS
=========OtherSUPERIOR VISION PLAN
=========OtherALWAYS VISION
451891OtherNATIONAL VISION ADMINISTRATORS
TX093177601Medicaid