Provider Demographics
NPI:1760778799
Name:CHEN, EMILY NGO (OD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:NGO
Last Name:CHEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13830 LEE HWY STE 8
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-2417
Mailing Address - Country:US
Mailing Address - Phone:703-260-9280
Mailing Address - Fax:571-655-5770
Practice Address - Street 1:13830 LEE HWY STE 8
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20120
Practice Address - Country:US
Practice Address - Phone:703-260-9280
Practice Address - Fax:571-655-5770
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618002048152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist