Chong, Lance M
Chong, Lance M is an individual health care provider with primary practice located at 2930 S 1St St Ste 700 , Garland TX 75041-3452. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Chong, Lance M can be contacted via phone (972) 278-0154.Contact Information
Primary practice address
2930 S 1St St Ste 700
Garland TX 75041-3452
Phone: (972) 278-0154
Fax: (972) 278-8327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5771TG | Texas |
Profile Details
| NPI number | 1821190141 |
|---|---|
| LBN Legal business name | Chong, Lance M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Nov 16th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821190141 | NPPES |
| Texas | MEDICAID | 019139702 |
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