Organization
CHAD E MOFFITT INC
Active
Other names
ALVIN OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD E MOFFITT O.D. (OWNER, DOCTOR)
(281) 585-8453
Entity
Organization
Contact information
Practice address
2625 S LOOP 35, SUITE 161, ALVIN, TX 77511-4728
(281) 585-8453
(281) 824-8711
Mailing address
2625 S LOOP 35, SUITE 161, ALVIN, TX 77511-4728
(281) 585-8453
(281) 824-8711
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5433TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036840901
—
TX
01
—
4014800001
PALMETTO DMERC MEDICARE
TX
01
—
80279Q
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/20/2007
Last updated
09/05/2008
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