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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TAI M CHAN, O.D.

Active Sole Proprietor

DR. TAI M CHAN, O.D. is a Corneal & Contact Management Optometrist healthcare provider located in WAUPUN, Wisconsin. NPI 1508908872 is currently active in the NPPES registry. Verify at CMS.

Corneal & Contact Management Optometrist · WAUPUN, WI

Registration Details

NPI Number
1508908872
Provider Type
Individual
Gender
Male
NPI Issued
Feb 13, 2007 (19.523594425962 yrs)
Last Updated
Jul 8, 2007
License
1529 (WI)
Sole Proprietor
Yes

Practice Information

Address
1 W LINCOLN ST
WAUPUN, WI, 539631949
Browse WI providers · Browse ZIP 53963
Phone
9203245577
Primary Specialty
Corneal & Contact Management Optometrist
152WC0802X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.