Individual provider Active NPI

Mingi Choi, OD

  • Optometrist
  • Arlington, TX
National Provider Identifier
1174017453
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9633TG Issued in TX
Practice address
910 N Davis Dr
Arlington, TX 76012-3200
Phone
(817) 460-2272
Fax
(817) 265-9684
NPI assigned
Jun 19, 2018
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9633TG TX Primary

Addresses

Primary practice location

910 N Davis Dr
Arlington, TX 76012-3200

Mailing address

910 N Davis Dr
Arlington, TX 76012-3200
Phone (817) 460-2272

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
I20190318002217 TX Practitioner - Optometry 7810237401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JW Eye Associates, PLLCGroup PAC ID 6305828567, 35 clinicians

Practice addresses (Care Compare)

910 N Davis Dr
Suite 400 Key Whitman Eye Center
Arlington, TX 76012-3200
Phone (214) 754-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9633TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
JW Eye Associates, PLLC Optometrist CurrentSince Apr 10, 2023 Accepting new patients
MHR Eye Association, P.a. CurrentSince Jan 1, 2021 Accepting new patients
JW Eye Associates, PLLC Optometrist CurrentSince Apr 10, 2023 Accepting new patients
JW Eye Associates, PLLC Past Accepting new patients
MHR Eye Association, PC PastSince Jan 1, 2021 Accepting new patients
JW Eye Associates, PLLC Optometrist Past Accepting new patients

Locations

400 W Arbrook Blvd
Ste 121
Arlington, TX 76014

910 N Davis Dr
Arlington, TX 76012
Phone (817) 461-0199

910 N Davis Dr
Ste 400
Arlington, TX 76012
Phone (817) 461-0199

1916 Central Dr
Bedford, TX 76021
Phone (817) 283-6607

11442 N Central Expy
Dallas, TX 75243
Phone (214) 220-3937

3400 N Tarrant Pkwy
Fort Worth, TX 76177

3400 N Tarrant Pkwy
Ste 110
Fort Worth, TX 76177

3060 Communications Pkwy
Ste 205
Plano, TX 75093
Phone (972) 769-2020

1310 N White Chapel Blvd
Southlake, TX 76092
Phone (817) 310-6080

Interoperability endpoints

  • Direct secure messaging: mchoi@kwec.intellechartdirect.net

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1174017453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N DAVIS DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123200",
            "telephone_number": "817-460-2272",
            "fax_number": "817-265-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N DAVIS DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123200",
            "telephone_number": "817-460-2272",
            "fax_number": "817-265-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "MINGI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9633TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.