Provider Demographics
NPI:1295722619
Name:CHUE, WARREN (OD)
Entity type:Individual
Prefix:DR
First Name:WARREN
Middle Name:
Last Name:CHUE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1299 N GOLDEN PALOMINO PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-5257
Mailing Address - Country:US
Mailing Address - Phone:520-203-7008
Mailing Address - Fax:520-203-7008
Practice Address - Street 1:2177 W ORANGE GROVE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-3118
Practice Address - Country:US
Practice Address - Phone:520-327-3487
Practice Address - Fax:520-327-3488
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ611152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ785446Medicaid
AZZ162074Medicare PIN
AZZ162077Medicare PIN
AZU45923Medicare UPIN
AZZ163172Medicare PIN
AZ77584Medicare ID - Type UnspecifiedMEDICARE/MEDICAID NUMBER
AZZ163174Medicare PIN
AZZ162076Medicare PIN
AZZ162078Medicare PIN
AZZ163170Medicare PIN
AZZ163173Medicare PIN
AZZ162075Medicare PIN