Provider Demographics
NPI:1942313473
Name:CHU, MING SEE CHIN (OD)
Entity Type:Individual
Prefix:DR
First Name:MING
Middle Name:SEE CHIN
Last Name:CHU
Suffix:
Gender:F
Credentials:OD
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Other - Credentials:
Mailing Address - Street 1:170 TOWN CENTER PKWY
Mailing Address - Street 2:OPTOMETRIST'S OFFICE INSIDE WALMART
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-5801
Mailing Address - Country:US
Mailing Address - Phone:619-596-0589
Mailing Address - Fax:619-596-0590
Practice Address - Street 1:170 TOWN CENTER PKWY
Practice Address - Street 2:OPTOMETRIST'S OFFICE INSIDE WAL-MART
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-5801
Practice Address - Country:US
Practice Address - Phone:619-596-0589
Practice Address - Fax:619-596-0590
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12281T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWOP12281EMedicare ID - Type Unspecified
U96648Medicare UPIN