Provider Demographics
NPI:1942445747
Name:MEDICAL OPTOMETRY INC.
Entity Type:Organization
Organization Name:MEDICAL OPTOMETRY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:NEETU
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAWLA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-432-7729
Mailing Address - Street 1:300 BAYBROOK MALL
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-2711
Mailing Address - Country:US
Mailing Address - Phone:215-432-7729
Mailing Address - Fax:713-436-4620
Practice Address - Street 1:300 BAYBROOK MALL
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-2711
Practice Address - Country:US
Practice Address - Phone:215-432-7729
Practice Address - Fax:713-436-4620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7329T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty