Most Relevant Information
Provider Data
| NPI Number: | 1003079393 |
| Provider Name: | YING CHIEH TINA CHANG O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 27OA00615000 |
Most Important Dates
| Enumeration Date: | 07/07/2008 |
| Last Updated: | 08/28/2008 |
Provider Practice Location
30 MALL DR W STE 267
JERSEY CITY
NJ
073101603
Practice Location Phone/Fax
| Phone: | 2017980303 |
| Fax: |
Provider Mailing Location
30 MALL DR W STE 267
JERSEY CITY
NJ
073101603
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |