Chandler, Moriah Adine

Chandler, Moriah Adine is an sole proprietor health care provider with primary practice located at 4401 Martin Luther King Blvd , Houston TX 77204-2020. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Chandler, Moriah Adine can be contacted via phone (713) 743-2020.

Contact Information

Primary practice address
4401 Martin Luther King Blvd Houston TX 77204-2020
Phone: (713) 743-2020
Fax: (713) 743-0963
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT002715 Georgia
Eye and Vision Services Providers / Optometrist 152W00000X 8813T Texas
Eye and Vision Services Providers / Pediatrics 152WP0200X 5427 Ohio
Eye and Vision Services Providers / Pediatrics 152WP0200X OPC4758 Florida
Eye and Vision Services Providers / Optometrist 152W00000X 8813 Texas

Profile Details

NPI number 1396717047
LBN Legal business name Chandler, Moriah Adine
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2006
Last updated May 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396717047 NPPES
Texas MEDICAID 352909101

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