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NPI Code Detail

MEDICARE: CHOICE EYECARE LLC

MEDICARE: CHOICE EYECARE LLC
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1396485082
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHOICE EYECARE LLC
Provider Business Mailing Address
First Line : 4691 HWY 121
Second Line :
City : THE COLONY
State : TX
Zip : 75056-4010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4691 HWY 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 : CEO
Name : DR. CHARLEEN CHOI
Credential : OD
Telephone Number : 699-801-3654
Provider Enumeration Date : 03/30/2022
Last Update Date : 08/11/2023

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Directions to “CHOICE EYECARE LLC ” Practice Location

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