MEDICARE: DR. CHARLEEN CHOI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	10146T	TX

General Provider Information

NPI Number	:	1063051092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLEEN CHOI

Provider Business Mailing Address
First Line	:	4691 STATE HIGHWAY 121
Second Line	:
City	:	THE COLONY
State	:	TX
Zip	:	75056-4010
Country	:	US
Telephone Number	:	469-980-1365
Fax Number	:	469-200-5332

Provider Business Practice Location Address
First Line	:	4691 STATE HIGHWAY 121
Second Line	:
City	:	THE COLONY
State	:	TX
Zip	:	75056-4010
Country	:	US
Telephone Number	:	213-798-2779
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2019
Last Update Date	:	08/11/2023

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Directions to “ DR. CHARLEEN CHOI ” Practice Location

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