Individual provider Active NPI

Paige A. Chumley, O.D.

  • Optometrist
  • Katy, TX
National Provider Identifier
1114156296
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7369T Issued in TX
Practice address
21318 Provincial Blvd
Katy, TX 77450-7580
Phone
(281) 398-0747
Fax
(281) 398-9825
NPI assigned
Jul 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 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 7369T TX Primary

Addresses

Primary practice location

21318 Provincial Blvd
Katy, TX 77450-7580

Mailing address

PO Box 296
Katy, TX 77492-0296
Phone (713) 259-1115

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
I20090820000397 TX Practitioner - Optometry 6608920947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katy Eye CareGroup PAC ID 9830388032, 2 clinicians

Practice addresses (Care Compare)

5919 George Bush Dr
Katy, TX 77493-1937
Phone (281) 741-6800

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7369TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Katy Eye Care Optometrist CurrentSince Oct 28, 2010 Accepting new patients
Eyes Over Texas Eye Care, P.a. PastSince Jul 19, 2009 Accepting new patients

Locations

5919 George Bush Dr
Katy, TX 77493
Phone (281) 741-6800

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": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1114156296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774920296",
            "telephone_number": "713-259-1115",
            "fax_number": "281-391-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21318 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507580",
            "telephone_number": "281-398-0747",
            "fax_number": "281-398-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUMLEY",
        "first_name": "PAIGE",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7369T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.