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Contact Information

ELENA LOPEZ CHAN
18500 VETERANS BLVD UNIT 4
PORT CHARLOTTE, FL33954-1035
 Phone: 941-743-7449
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ELENA LOPEZ CHAN · (Female)

NPI # 1265099154
Status Active
Credentials
Entity Individual
Enumeration date 05/26/2019
Last updated 02/21/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OPC5646
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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