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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 Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MAMIE C CHAN · (Female)

NPI # 1164536165
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/18/2006
Last updated 05/25/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 512
  • NM Medicaid A4896
Hospital affiliation(s) Not Available
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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