Provider Demographics
NPI:1184938086
Name:CHACKO, RHONNEY E (OPTICIAN)
Entity type:Individual
Prefix:MR
First Name:RHONNEY
Middle Name:E
Last Name:CHACKO
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:MR
Other - First Name:RHONNEY
Other - Middle Name:E
Other - Last Name:CHACKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OPTICIAN
Mailing Address - Street 1:12802 MURPHY RD STE C
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3902
Mailing Address - Country:US
Mailing Address - Phone:281-494-3300
Mailing Address - Fax:281-494-1585
Practice Address - Street 1:12802 MURPHY RD STE C
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3902
Practice Address - Country:US
Practice Address - Phone:281-494-3300
Practice Address - Fax:281-494-1585
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-03
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician