Individual provider Active NPI

Viren Choksi, O.D.

  • Optometrist
  • Hurst, TX
National Provider Identifier
1104379569
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9033T Issued in TX
Practice address
751 Mid Cities Blvd
Hurst, TX 76054-2748
Phone
(817) 656-2020
Fax
(817) 656-5908
NPI assigned
Aug 2, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew G. Barber, OD, PA 2 clinicians

Practice addresses (Care Compare)

1700 Montgomery St
Fort Worth, TX 76107-4008
Phone (817) 737-6281

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

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
I20161121000990 TX Practitioner - Optometry 7517246275 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9033TXMDChiropractor
9033TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew G. Barber, OD, PA Optometrist CurrentSince May 3, 2021 Accepting new patients

Locations

1700 Montgomery St
Fort Worth, TX 76107
Phone (817) 737-6281

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9033T TX Primary

Addresses

NPPES NPI Registry

Primary practice location

751 Mid Cities Blvd
Hurst, TX 76054-2748

Mailing address

751 Mid Cities Blvd
Hurst, TX 76054-2748
Phone (817) 656-2020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 2, 2016.

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1104379569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 MID CITIES BLVD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542748",
            "telephone_number": "817-656-2020",
            "fax_number": "817-656-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 MID CITIES BLVD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542748",
            "telephone_number": "817-656-2020",
            "fax_number": "817-656-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOKSI",
        "first_name": "VIREN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9033T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.