| NPI | 1255926135 |
|---|---|
| Former Legal Business Name | MODERN OPTICAL |
| Entity Type | Organization |
| Authorized Contact | RHONEY CHACKO CEO 281-494-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-09 |