National Provider Identifier Database

MAMIE C CHAN, OD – NPI #1164536165
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

MAMIE C CHAN, OD
5341 WYOMING BLVD NE STE D
ALBUQUERQUE, NM87109-3164
Phone: 505-821-8333
Fax: 505-821-8335
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for MAMIE C CHAN

NPI Number 1164536165
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/18/2006
Last updated 05/25/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • NM License #: 512
  • NM Medicaid: A4896
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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