Provider Demographics
NPI:1053339044
Name:CHIN, DAVY MOON (OD)
Entity type:Individual
Prefix:DR
First Name:DAVY
Middle Name:MOON
Last Name:CHIN
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:4311 OAK TRAIL CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3105
Mailing Address - Country:US
Mailing Address - Phone:281-286-3088
Mailing Address - Fax:
Practice Address - Street 1:19210 GULF FWY
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-2705
Practice Address - Country:US
Practice Address - Phone:281-286-3088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2826TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
451891OtherNATIONAL VISION ADMINISTRATORS
760028779OtherSUPERIOR VISION PLAN
760028779OtherOPTICARE
760028779OtherAVESIS
TX093177601Medicaid
11481OtherFORD UAW SVS
760028779OtherTML
760028779OtherUNITED HEALTHCARE
760028779OtherLIFERE
760028779OtherALWAYS VISION
TX81579QOtherBLUE CROSS BLUE SHIELD
05311OtherSPECTERA
760028779OtherVISION SERVICE PLAN
919830OtherBLOCK VISION OF TEXAS
1988OtherDAVIS VISION
760028779OtherTRICARE SOUTH REGION
TX81579QOtherBLUE CROSS BLUE SHIELD
TXT98188Medicare UPIN