Provider Demographics
NPI:1841326493
Name:CHEN, JULIE S (OD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:S
Last Name:CHEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:245 MARKET ST STE 6
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-1706
Mailing Address - Country:US
Mailing Address - Phone:415-777-2870
Mailing Address - Fax:415-777-9819
Practice Address - Street 1:245 MARKET ST STE 6
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-1706
Practice Address - Country:US
Practice Address - Phone:415-777-2870
Practice Address - Fax:415-777-9819
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA11343T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU91398Medicare UPIN