MEDICARE: CHONG EYE CENTER, PLLC

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	207W00000X	Ophthalmology Physician	P7623	TX

General Provider Information

NPI Number	:	1518324466
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHONG EYE CENTER, PLLC

Provider Business Mailing Address
First Line	:	6918 CORPORATE DR STE B4
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-5140
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6918 CORPORATE DR STE B4
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-5140
Country	:	US
Telephone Number	:	713-417-8880
Fax Number	:

Authorized Official
Title or Position	:	OPHTHALMOLOGIST
Name	:	DR. JAMES CHONG
Credential	:	M.D.
Telephone Number	:	713-417-8880

Provider Enumeration Date	:	01/23/2016
Last Update Date	:	01/23/2016

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