Provider Demographics
NPI:1801042916
Name:SUN, CHIA REE (OPTICIAN)
Entity Type:Individual
Prefix:MRS
First Name:CHIA
Middle Name:REE
Last Name:SUN
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13608 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4111
Mailing Address - Country:US
Mailing Address - Phone:718-939-3989
Mailing Address - Fax:718-939-3336
Practice Address - Street 1:13608 37TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4111
Practice Address - Country:US
Practice Address - Phone:718-939-3989
Practice Address - Fax:718-939-3336
Is Sole Proprietor?:No
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008826156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician