Individual provider Active NPI

Annie H Ku, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1134817158
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10942T Issued in TX
Practice address
8105 Shoal Creek Blvd Ste a
Austin, TX 78757-8040
Phone
(512) 454-4641
NPI assigned
Apr 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10942T TX Primary
Pediatric Optometrist 152WP0200X 10942T TX
Optometrist 152W00000X OPC6251 FL

Addresses

Primary practice location

8105 Shoal Creek Blvd Ste a
Austin, TX 78757-8040

Mailing address

8105 Shoal Creek Blvd Ste a
Austin, TX 78757-8040
Phone (512) 454-4641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230904000213 FL Practitioner - Optometry 2860855103 Reassigns benefits to 1 organization
I20240911001886 VA Practitioner - Optometry 2860855103 Reassigns benefits to 1 organization
I20260327002000 TX Practitioner - Optometry 2860855103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Awod PLLCGroup PAC ID 6608116751, 2 clinicians

Practice addresses (Care Compare)

8105 Shoal Creek Blvd
Suite a
Austin, TX 78757-8040
Phone (512) 454-4641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10942TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Awod, PLLC Optometrist CurrentSince Feb 18, 2026 Accepting new patients
Earl R Crouch Jr MD Facs PC CurrentSince Aug 1, 2024 Accepting new patients
Bob Joe, O.D. and Associates Optometrist PastSince Feb 18, 2026 Accepting new patients

Locations

8105 Shoal Creek Blvd
#A
Austin, TX 78757
Phone (512) 454-4641

1564 Crossways Blvd
Chesapeake, VA 23320
Phone (757) 420-8002

4665 South Blvd
Virginia Beach, VA 23452
Phone (757) 461-0050

Organizations & group practices 4

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": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1134817158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 SHOAL CREEK BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787578040",
            "telephone_number": "512-454-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 SHOAL CREEK BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787578040",
            "telephone_number": "512-454-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KU",
        "first_name": "ANNIE",
        "middle_name": "H",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10942T",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "10942T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.