Provider Demographics
NPI:1023777422
Name:RUTH J CHEN OD INC
Entity type:Organization
Organization Name:RUTH J CHEN OD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:CHEN
Authorized Official - Last Name:FRUIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:650-520-3888
Mailing Address - Street 1:1051 SOLANO AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-1650
Mailing Address - Country:US
Mailing Address - Phone:510-526-3937
Mailing Address - Fax:
Practice Address - Street 1:1051 SOLANO AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94706-1650
Practice Address - Country:US
Practice Address - Phone:510-526-3937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RUTH J CHEN OD INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty