Individual provider Active NPI

Kimble Elisabeth Chentnik, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1184075657
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9001-TG Issued in TX
Practice address
6699 Chimney Rock
Suite 201
Houston, TX 77081
Phone
(713) 661-6500
Fax
(713) 661-6527
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9001 TX
Optometrist 152W00000X 9001-TG TX Primary

Addresses

Primary practice location

6699 Chimney Rock
Suite 201
Houston, TX 77081

Mailing address

6699 Chimney Rock Rd Ste 201
Houston, TX 77081-5339
Phone (713) 661-6500

Other names 1

  • Kimble Slonaker Former name

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
I20160720000838 TX Practitioner - Optometry 6406149038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellaire Eye Consultants, PAGroup PAC ID 9830103043, 7 clinicians

Practice addresses (Care Compare)

6330 W Loop S
Suite 100
Bellaire, TX 77401-2904
Phone (713) 661-6500

Merit-based Incentive Payment System (MIPS)

Final score
92.11 of 100Reported as group
Quality
99.98
Improvement activities
40
Cost
73.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9001TXMDGeneral Practice Dentistry
9001-TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellaire Eye Consultants, PA CurrentSince Jul 22, 2017 Accepting new patients

Locations

6330 West Loop S
Ste 100
Bellaire, TX 77401
Phone (713) 661-6500

6699 Chimney Rock Rd
Ste 201
Houston, TX 77081
Phone (713) 533-1700

11914 Astoria Blvd
Ste 460
Houston, TX 77089
Phone (281) 484-1186

23530 Kingsland Blvd
Ste 202
Katy, TX 77494
Phone (713) 661-6500

Organizations & group practices 1

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184075657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6699 CHIMNEY ROCK RD STE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815339",
            "telephone_number": "713-661-6500",
            "fax_number": "713-661-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 CHIMNEY ROCK",
            "address_2": "SUITE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77081",
            "telephone_number": "713-661-6500",
            "fax_number": "713-661-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENTNIK",
        "first_name": "KIMBLE",
        "middle_name": "ELISABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9001",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9001-TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBLE",
            "last_name": "SLONAKER",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.