Provider Demographics
NPI:1982853537
Name:CHOU, CINDY YI-FEN (OD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:YI-FEN
Last Name:CHOU
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 1:14228 38TH AVE APT 4C
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5591
Mailing Address - Country:US
Mailing Address - Phone:626-731-8169
Mailing Address - Fax:
Practice Address - Street 1:6909 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-2933
Practice Address - Country:US
Practice Address - Phone:718-639-1392
Practice Address - Fax:718-639-2041
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007327-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist