Provider Demographics
NPI:1275852824
Name:ANN CHERIAN OD AND ASSOCIATES INC
Entity Type:Organization
Organization Name:ANN CHERIAN OD AND ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR OF OPTOMETRY
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERIAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-208-8180
Mailing Address - Street 1:6000 HIGHWAY 6
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4163
Mailing Address - Country:US
Mailing Address - Phone:281-208-8180
Mailing Address - Fax:281-208-8189
Practice Address - Street 1:6000 HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4163
Practice Address - Country:US
Practice Address - Phone:281-208-8180
Practice Address - Fax:281-208-8189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-21
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7209TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7209TGOtherTEXAS OPTOMETRY LICENSE