Provider Demographics
NPI:1386709582
Name:CHAIT, ELLEN SARA (OD)
Entity type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:SARA
Last Name:CHAIT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:3710 RAWLINS ST.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219
Mailing Address - Country:US
Mailing Address - Phone:214-953-3937
Mailing Address - Fax:214-953-1892
Practice Address - Street 1:2124 TOWN EAST MALL
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4119
Practice Address - Country:US
Practice Address - Phone:972-613-3581
Practice Address - Fax:972-686-1763
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3328TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist