Organization
MODERN OPTICAL
Active
Other names
MODERN OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
RHONEY CHACKO (CEO)
(281) 494-3300
Entity
Organization
Contact information
Practice address
12802 MURPHY RD STE C, STAFFORD, TX 77477-3902
(281) 494-3300
(281) 494-1585
Mailing address
12802 MURPHY RD, STAFFORD, TX 77477-3902
(281) 494-3300
(281) 494-1585
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
03/09/2021
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