Provider Demographics
NPI:1821227919
Name:CHEN, TERESA YANHONG (OD)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:YANHONG
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 1:494 GATEWAY DRIVE, UNIT 1-2
Mailing Address - Street 2:VISIONWORKS AT GATEWAY CENTER II
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11239
Mailing Address - Country:US
Mailing Address - Phone:718-277-3120
Mailing Address - Fax:718-277-3129
Practice Address - Street 1:175 EAST HOUSTON ST
Practice Address - Street 2:VISIONWORKS
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205
Practice Address - Country:US
Practice Address - Phone:877-446-3145
Practice Address - Fax:607-729-2605
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2016-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007451-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist