Gerald D. Chan, O.D. & Lisa E. Moon, O.D.
LBN: Gerald D. Chan, O.D. & Lisa E. Moon, O.D.
Gerald D. Chan, O.D. & Lisa E. Moon, O.D. is an health care organization with primary practice located at 360 Sierra College Dr Suite 100, Grass Valley CA 95945-5088. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Gerald D. Chan, O.D. & Lisa E. Moon, O.D. can be contacted via phone (530) 273-3190, or through Chan, Gerald via phone (530) 273-3190.
Contact Information
Primary practice address
360 Sierra College Dr Suite 100
Grass Valley CA 95945-5088
Phone: (530) 273-3190
Fax: (530) 273-5541
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5832 T & 6088 T | California |
Profile Details
| NPI number | 1538264601 |
|---|---|
| LBN Legal business name | Gerald D. Chan, O.D. & Lisa E. Moon, O.D. |
| DBA Doing business as | |
| Authorized official | Chan, Gerald Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Sep 22nd, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538264601 | NPPES |
| Other | CP5473 | RR MEDICARE | |
| MEDICAID | YYY49206Y | RR MEDICARE |
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