Provider Demographics
NPI:1184738536
Name:CHIN, VICTORIA APRIL (OD, MBA)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:APRIL
Last Name:CHIN
Suffix:
Gender:F
Credentials:OD, MBA
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Mailing Address - Street 1:18850 S MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4288
Mailing Address - Country:US
Mailing Address - Phone:281-446-7900
Mailing Address - Fax:281-446-4879
Practice Address - Street 1:5115 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-9749
Practice Address - Country:US
Practice Address - Phone:713-580-2500
Practice Address - Fax:713-580-2597
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX6988T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6988TGOtherTEXAS OPTOMETRY LICENSE
TX8K7668Medicare PIN