Individual provider Active NPI

Chukwunonso Nwankwo, OD

  • Optometrist
  • Burleson, TX
National Provider Identifier
1073354189
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11080T Issued in TX
Practice address
811 NE Alsbury Blvd Ste 100
Burleson, TX 76028-2657
Phone
(817) 231-7131
NPI assigned
Jun 3, 2024
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11080T TX Primary

Addresses

Primary practice location

811 NE Alsbury Blvd Ste 100
Burleson, TX 76028-2657

Mailing address

822 Guilford Ave # 1549
Baltimore, MD 21202-3707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250129001705 TX Practitioner - Optometry 4981133493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Vision Group, PLLCGroup PAC ID 2062805781, 22 clinicians

Practice addresses (Care Compare)

2601 S Ih
35 Suite C100
Round Rock, TX 78664-7336
Phone (512) 246-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11080TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Future Eyecare PLLC Optometrist CurrentSince Dec 30, 2025 Accepting new patients
FD&I Group, LLC Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Michael E Feeser OD PLLC Optometrist CurrentSince Jan 1, 2026 Accepting new patients
America's Best Contacts & Eyeglasses PastSince Jun 9, 2024 Accepting new patients
Futureyes, Inc Optometrist Past Accepting new patients

Locations

2900 W Anderson Ln
Ste G
Austin, TX 78757
Phone (512) 337-1000

1540 S Mason Rd
Ste C
Katy, TX 77450
Phone (281) 693-1616

4060 N Faudree Rd
Ste 104A
Odessa, TX 79765

4101 E 42nd St
Ste 106
Odessa, TX 79762
Phone (432) 362-2716

1010 Old Austin Hutto Rd
Ste 100
Pflugerville, TX 78660
Phone (512) 252-7075

11334 Potranco Rd
Ste 104
San Antonio, TX 78253
Phone (210) 317-2020

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1073354189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 GUILFORD AVE # 1549",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 NE ALSBURY BLVD STE 100",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282657",
            "telephone_number": "817-231-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANKWO",
        "first_name": "CHUKWUNONSO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11080T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.