Provider Demographics
NPI:1942546676
Name:CHIANG, ERICA WINGCHUK-PUN (OD)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:WINGCHUK-PUN
Last Name:CHIANG
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 1:1030 NORWOOD PARK BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-6606
Mailing Address - Country:US
Mailing Address - Phone:512-491-9797
Mailing Address - Fax:512-491-9735
Practice Address - Street 1:1030 NORWOOD PARK BLVD STE A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-6606
Practice Address - Country:US
Practice Address - Phone:512-491-9797
Practice Address - Fax:512-491-9735
Is Sole Proprietor?:No
Enumeration Date:2012-12-28
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6976TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist