MEDICARE: ANN CHERIAN OD AND ASSOCIATES INC

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	7209TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7209TG	OTHER	TX	TEXAS OPTOMETRY LICENSE

General Provider Information

NPI Number	:	1275852824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANN CHERIAN OD AND ASSOCIATES INC

Provider Business Mailing Address
First Line	:	6000 HIGHWAY 6
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4163
Country	:	US
Telephone Number	:	281-208-8180
Fax Number	:	281-208-8189

Provider Business Practice Location Address
First Line	:	6000 HIGHWAY 6
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4163
Country	:	US
Telephone Number	:	281-208-8180
Fax Number	:	281-208-8189

Authorized Official
Title or Position	:	OWNER/DOCTOR OF OPTOMETRY
Name	:	ANN CHERIAN
Credential	:	O.D.
Telephone Number	:	281-208-8180

Provider Enumeration Date	:	05/21/2010
Last Update Date	:	02/24/2011

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