MEDICARE: DR. PETER S. CHAO O.D.

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	152WC0802X	Corneal and Contact Management Optometrist	5895TG	TX
2	152W00000X	Optometrist	5895TG	TX

General Provider Information

NPI Number	:	1972643625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER S. CHAO O.D.

Provider Business Mailing Address
First Line	:	6600 FEDERAL HALL ST
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75023-2348
Country	:	US
Telephone Number	:	214-334-5524
Fax Number	:

Provider Business Practice Location Address
First Line	:	4909 W PARK BLVD
Second Line	:	SUITE 135
City	:	PLANO
State	:	TX
Zip	:	75093-2311
Country	:	US
Telephone Number	:	972-985-7916
Fax Number	:	972-985-7933

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

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	10/01/2021

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Directions to “ DR. PETER S. CHAO O.D.” Practice Location

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