Christina Su, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11170T Issued in TX

Practice address

21856 Market PL Drive
Suite 100
New Caney, TX 77357

Phone

(832) 432-6137

NPI assigned

Jul 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, WA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ce Eye Care PLLC

  • Optometrist
  • Houston, TX
  • NPI 1962053256
  Medicare reassignment NPD
• Blue Wave Eye Doctors Professional Limited Liability Company

  • Optometrist
  • Everett, WA
  • NPI 1053060475
  Medicare reassignment NPD
• Blue Wave Eye Doctors Professional Limited Liability Company

  • Eyewear Supplier
  • Olympia, WA
  • NPI 1902608755
  NPD

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1235976978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21856 MARKET PL DRIVE",
            "address_2": "SUITE 100",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "77357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21856 MARKET PL DRIVE",
            "address_2": "SUITE 100",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "77357",
            "telephone_number": "832-432-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "CHRISTINA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11170T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keli Noorda Stalder
• Kendra Stapleton
• Ashlin Stedifor
• Willean Stewart
• Kelly G Stuckey
• Alexandria Dorothy Talley, DDS
• Juana Taylor
• Texas Air Corp Inc
• Texas Imaging Center LLC
• Texas Urgent Care & Imaging Center

• Optometrist in New Caney, TX
• Providers in New Caney, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.