DR. Kevin Chan, O.D.

NPI #1225461981 in Tysons Corner, Virginia

Provider Information

NPI Number: 1225461981
Entity Type: Individual
Name: DR. Kevin Chan, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist - Pediatrics
Credential: O.D.
Enumeration Date: Aug 16, 2013
Last Updated: Feb 14, 2019

Practice Location

Address: 8100 BOONE BLVD STE 150
City: Tysons Corner
State: Virginia
ZIP Code: 22182-2629
Phone: (703) 991-2766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Optometrist - Pediatrics — Pediatrics	152WP0200X	Primary

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