Provider Demographics
NPI:1730300112
Name:DORIS H. CHAO, O.D., P.C.
Entity Type:Organization
Organization Name:DORIS H. CHAO, O.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRY, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHAO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-355-4726
Mailing Address - Street 1:3000 GRAPEVINE MILLS PKWY
Mailing Address - Street 2:#433
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-2008
Mailing Address - Country:US
Mailing Address - Phone:972-355-4726
Mailing Address - Fax:972-355-4787
Practice Address - Street 1:3000 GRAPEVINE MILLS PKWY
Practice Address - Street 2:#433
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-2008
Practice Address - Country:US
Practice Address - Phone:972-355-4726
Practice Address - Fax:972-355-4787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6201TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty