Individual provider Active NPI

Alexander David Chen, O.D.

  • Optometrist
  • Humble, TX
National Provider Identifier
1184853509
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7395T Issued in TX
Practice address
9701 N Sam Houston Pkwy E
Suite 100
Humble, TX 77396-4482
Phone
(281) 360-2021
Fax
(281) 360-2026
NPI assigned
Jul 7, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7395T TX Primary

Addresses

Primary practice location

9701 N Sam Houston Pkwy E
Suite 100
Humble, TX 77396-4482

Mailing address

9701 N Sam Houston Pkwy E
Suite 100
Humble, TX 77396-4482
Phone (281) 360-2021

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
I20110801000589 TX Practitioner - Optometry 4587833991 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
Paragon Eye Care, IncGroup PAC ID 6507035912, 2 clinicians

Practice addresses (Care Compare)

9701 N Sam Houston Pkwy E
Suite 100
Humble, TX 77396-4636
Phone (281) 360-2021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7395TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Eye Care, Inc CurrentSince Jul 18, 2011 Accepting new patients

Locations

9701 N Sam Houston Pkwy E
Ste 100
Humble, TX 77396
Phone (281) 360-2021

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": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1184853509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 N SAM HOUSTON PKWY E",
            "address_2": "SUITE 100",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964482",
            "telephone_number": "281-360-2021",
            "fax_number": "281-360-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 N SAM HOUSTON PKWY E",
            "address_2": "SUITE 100",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964482",
            "telephone_number": "281-360-2021",
            "fax_number": "281-360-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ALEXANDER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7395T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.