Provider Demographics
NPI:1043498264
Name:CHEE M. KOH
Entity Type:Organization
Organization Name:CHEE M. KOH
Other - Org Name:VISION EXPERTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHEE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KOH
Authorized Official - Suffix:
Authorized Official - Credentials:ABO
Authorized Official - Phone:817-277-8822
Mailing Address - Street 1:2389 S COLLINS ST.
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-1236
Mailing Address - Country:US
Mailing Address - Phone:817-277-8822
Mailing Address - Fax:817-860-8822
Practice Address - Street 1:2389 S COLLINS ST.
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-1236
Practice Address - Country:US
Practice Address - Phone:817-277-8822
Practice Address - Fax:817-860-8822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0675361-01Medicaid
TX1061290001Medicare NSC