Kevin Chan, O.D. Valid NPI

Individual provider · Pediatric Optometrist · Tysons Corner, VA

NPI

1225461981

Type

Individual (Type 1)

Primary specialty

Pediatric Optometrist (Optometrist)

Specialty group

Eye and Vision Services Providers

Taxonomy code

152WP0200X

License number

0618002281 (VA)

Sex

Male

Sole proprietor

No

Enumerated

2013-08-16

Last updated

2019-02-14