Provider Demographics
NPI:1760781694
Name:CHENG, ARNALD (OD)
Entity Type:Individual
Prefix:
First Name:ARNALD
Middle Name:
Last Name:CHENG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 US HIGHWAY 380
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034
Mailing Address - Country:US
Mailing Address - Phone:832-598-1809
Mailing Address - Fax:972-954-5446
Practice Address - Street 1:1525 US HIGHWAY 380
Practice Address - Street 2:SUITE 300
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034
Practice Address - Country:US
Practice Address - Phone:832-598-1809
Practice Address - Fax:972-954-5446
Is Sole Proprietor?:No
Enumeration Date:2011-03-17
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX07176TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1093991366Medicare PIN