Provider Demographics
NPI:1174017453
Name:CHOI, MINGI (OD)
Entity Type:Individual
Prefix:
First Name:MINGI
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 N DAVIS DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-3200
Mailing Address - Country:US
Mailing Address - Phone:817-460-2272
Mailing Address - Fax:817-265-9684
Practice Address - Street 1:910 N DAVIS DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-3200
Practice Address - Country:US
Practice Address - Phone:817-460-2272
Practice Address - Fax:817-265-9684
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9633TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist