Ashley Susan Chennankara, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7549TG Issued in TX

Practice address

440 W Lyndon B Johnson Fwy Ste 300
Irving, TX 75063-3841

Phone

(214) 574-9600

NPI assigned

Jul 9, 2010

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

Other names 1

• Miss Ashley Susan Koruthu Former name

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Village Vision Center, PLLCGroup PAC ID 9133402738, 6 clinicians

Lasercare Eye Center PAGroup PAC ID 0143252130, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashley.chennankara.1@16194.direct.athenahealth.com

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.

• Lasercare Eye Center, P.a.

  • Ophthalmology Physician
  • Irving, TX
  • NPI 1003911629

  Optometrist, TX

  Medicare reassignment Care Compare group NPD
• Village Vision Center, PLLC

  • Optometrist
  • Highland Village, TX
  • NPI 1841742558
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1245542018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080002",
            "telephone_number": "254-724-7784",
            "fax_number": "254-724-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W LYNDON B JOHNSON FWY STE 300",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633841",
            "telephone_number": "214-574-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENNANKARA",
        "first_name": "ASHLEY",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7549TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "KORUTHU",
            "middle_name": "SUSAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Chemmalakuzhy, M.D.
• Hongzhen Chen, LAC
• Jennifer Chen, MS, BCBA
• Franklin Cheng, M.D.
• Peiyi Cheng, MSAOM, L. AC.
• Jacob Bonaventure Chennat, RPH
• Cheryl Ann White MD PHD PA
• Rosalia Irene Cheshier, MA SLP
• Kimberly A Chesshir, MD
• Shirley Carol Cheung, PHARMACIST

• All providers in Irving, TX
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.