Organization Active NPI

Pard H. Chan OD,PC

  • Optometrist
  • Nanuet, NY
National Provider Identifier
1073842233
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004766 Issued in NY
Legal business name
PARD H. CHAN OD,PC
Practice address
50 Overlook Blvd
Nanuet, NY 10954-5290
Phone
(845) 426-2044
NPI assigned
Dec 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Pard H Chan, O. D.
Title
President
Phone
(845) 352-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV004766 NY Primary

Addresses

Primary practice location

50 Overlook Blvd
Nanuet, NY 10954-5290

Mailing address

2 Nottingham CT
Nanuet, NY 10954-3846
Phone (845) 352-9797

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1073842233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NOTTINGHAM CT",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543846",
            "telephone_number": "845-352-9797",
            "fax_number": "845-352-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 OVERLOOK BLVD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545290",
            "telephone_number": "845-426-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARD H. CHAN OD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "PARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-352-9797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.