Individual provider Active NPI

David Chavez Jr., OD

  • Optometrist
  • Magnolia, TX
National Provider Identifier
1104490846
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10285 Issued in TX
Practice address
306 Magnolia Blvd
Magnolia, TX 77355-8535
Phone
(281) 259-2020
NPI assigned
May 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 10285 TX Primary

Addresses

Primary practice location

306 Magnolia Blvd
Magnolia, TX 77355-8535

Mailing address

4503 S Kirkwood Rd Apt 11
Houston, TX 77072-1231
Phone (832) 715-5201

Other practice location 1

6502 Garth Rd Ste 200
Baytown, TX 77521-9889
Phone (346) 292-5297

Other practice location 2

11821 Fm 1488 Rd Ste B
Magnolia, TX 77354-7138
Phone (832) 224-4766

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
I20210630002085 TX Practitioner - Optometry 2668873415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vertex VisionGroup PAC ID 6901214360, 2 clinicians

Practice addresses (Care Compare)

11821 FM 1488 Rd
Suite B
Magnolia, TX 77354-7138
Phone (832) 224-4766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10285TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vertex Vision Optometrist CurrentSince Jun 23, 2021 Accepting new patients
Vision Center of Magnolia, P.C. Optometrist CurrentSince Jul 22, 2025 Accepting new patients

Locations

6502 Garth Rd
Ste 200-A
Baytown, TX 77521
Phone (346) 230-5126

19210 Gulf Fwy
#A
Friendswood, TX 77546
Phone (346) 271-6485

306 Magnolia Blvd
Magnolia, TX 77355
Phone (281) 259-2020

11821 FM 1488 Rd
Ste B
Magnolia, TX 77354
Phone (832) 224-4766

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": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1104490846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 S KIRKWOOD RD APT 11",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770721231",
            "telephone_number": "832-715-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MAGNOLIA BLVD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773558535",
            "telephone_number": "281-259-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6502 Garth Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775219889",
            "country_code": "US",
            "telephone_number": "346-292-5297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11821 Fm 1488 Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "TX",
            "postal_code": "773547138",
            "country_code": "US",
            "telephone_number": "832-224-4766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-17",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

Verify at the official NPI Registry.