Provider Demographics
NPI:1710064589
Name:CHEN, SHU HENG (OD)
Entity Type:Individual
Prefix:DR
First Name:SHU HENG
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3608 DANDELION DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7229
Mailing Address - Country:US
Mailing Address - Phone:469-467-1116
Mailing Address - Fax:972-599-1612
Practice Address - Street 1:300 TERRACE DR
Practice Address - Street 2:SUITE #310A
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-6065
Practice Address - Country:US
Practice Address - Phone:972-792-8880
Practice Address - Fax:972-792-9992
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5960 T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U91659Medicare UPIN