Individual provider Active NPI

Andrew To, O.D.

  • Optometrist
  • The Woodlands, TX
National Provider Identifier
1083834295
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6562TG Issued in TX
Practice address
26400 Kuykendahl Rd
Suite A190
The Woodlands, TX 77375-2882
Phone
(832) 559-3861
Fax
(832) 698-1195
NPI assigned
Apr 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6562TG TX Primary

Addresses

Primary practice location

26400 Kuykendahl Rd
Suite A190
The Woodlands, TX 77375-2882

Mailing address

8219 Scoresby Manor CT
Spring, TX 77379-5318
Phone (281) 257-6116

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
I20070508000061 TX Practitioner - Optometry 9537265566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26400 Kuykendahl Rd
Suite A190
The Woodlands, TX 77375-2884
Phone (832) 559-3861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6562TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Family Eyecare, PC Optometrist CurrentSince Sep 15, 2015 Accepting new patients
Kindred Eyecare, P.C. Optometrist Past Accepting new patients

Locations

26400 Kuykendahl Rd
Ste A190
The Woodlands, TX 77375
Phone (281) 257-6116

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1083834295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8219 SCORESBY MANOR CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773795318",
            "telephone_number": "281-257-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26400 KUYKENDAHL RD",
            "address_2": "SUITE A190",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773752882",
            "telephone_number": "832-559-3861",
            "fax_number": "832-698-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TO",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6562TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.