Individual provider Active NPI

Christine Liu Shuchart, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1235222639
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5498TG Issued in TX
Practice address
13615 Bellaire Blvd
Houston, TX 77083-1714
Phone
(281) 933-3445
Fax
(281) 933-6865
NPI assigned
Sep 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5498TG TX Primary

Addresses

Primary practice location

13615 Bellaire Blvd
Houston, TX 77083-1714

Mailing address

1519 Timber Creek Dr
Missouri City, TX 77459-4558
Phone (281) 835-6902

Other identifiers 2

IdentifierTypeStateIssuer
5498TGOtherTXSTATE LICENSE NUMBER
4743680001OtherTXCIGNA GOV SERVICES NUMBER

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
I20070212000111 TX Practitioner - Optometry 2860494457 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5498TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Wick OD PHD PA Optometrist CurrentSince Sep 26, 2006 Accepting new patients

Locations

13615 Bellaire Blvd
Houston, TX 77083
Phone (281) 933-3446

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1235222639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 TIMBER CREEK DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594558",
            "telephone_number": "281-835-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13615 BELLAIRE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770831714",
            "telephone_number": "281-933-3445",
            "fax_number": "281-933-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUCHART",
        "first_name": "CHRISTINE",
        "middle_name": "LIU",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5498TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "5498TG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOV SERVICES NUMBER",
            "identifier": "4743680001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.