Provider Demographics
NPI:1487078267
Name:HELEN CHENG OD A OPTOMETRY CORPORATION
Entity type:Organization
Organization Name:HELEN CHENG OD A OPTOMETRY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:408-621-6368
Mailing Address - Street 1:4299 ROSEWOOD DR
Mailing Address - Street 2:UNIT 105
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-3001
Mailing Address - Country:US
Mailing Address - Phone:408-621-6368
Mailing Address - Fax:
Practice Address - Street 1:4299 ROSEWOOD DR
Practice Address - Street 2:UNIT 105
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3001
Practice Address - Country:US
Practice Address - Phone:408-621-6368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-13
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty