Individual provider Active NPI

Yuchi Hsu, OD

  • Optometrist
  • College Station, TX
National Provider Identifier
1174328306
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11355 Issued in TX
Practice address
1311 Wellborn Rd Ste A300
College Station, TX 77840-4755
Phone
(197) 976-4001
NPI assigned
Feb 13, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 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 11355 TX Primary

Addresses

Primary practice location

1311 Wellborn Rd Ste A300
College Station, TX 77840-4755

Mailing address

1311 Wellborn Rd Ste A300
College Station, TX 77840-4755

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
I20250407000004 TX Practitioner - Optometry 5890219372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

1311 Wellborn Rd
Suite a 300
College Station, TX 77840-4755
Phone (979) 764-0010

2703 Richmond Rd
Texarkana, TX 75503-2328
Phone (903) 838-0783

3201 University Dr E
Suite 140
Bryan, TX 77802-3487
Phone (979) 731-8446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11355TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Apr 1, 2025 Accepting new patients

Locations

11645 Angus Rd
Ste 5
Austin, TX 78759
Phone (512) 345-5641

6725 Delaware St
Beaumont, TX 77706
Phone (409) 832-9151

1311 Wellborn Rd
Ste A300
College Station, TX 77840
Phone (979) 764-0010

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

5224 S State Highway 360
Ste 200
Grand Prairie, TX 75052
Phone (972) 602-4545

3032 N Eastman Rd
Ste 100
Longview, TX 75605
Phone (903) 663-2020

2006 N Main St
Pearland, TX 77581
Phone (281) 485-5591

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

Organizations & group practices 3

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": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1174328306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 WELLBORN RD STE A300",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778404755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 WELLBORN RD STE A300",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778404755",
            "telephone_number": "197-976-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "YUCHI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "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": "11355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.