Individual provider Active NPI

Robert Chu, O.D.

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1255313599
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6328TG Issued in TX
Practice address
4631 S Hulen St
Fort Worth, TX 76132-1401
Phone
(817) 346-7077
Fax
(817) 346-6998
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6328TG TX Primary
Corneal and Contact Management Optometrist 152WC0802X 6328TG TX
Low Vision Rehabilitation Optometrist 152WL0500X 6328TG TX
Pediatric Optometrist 152WP0200X 6328TG TX
Sports Vision Optometrist 152WS0006X 6328TG TX
Vision Therapy Optometrist 152WV0400X 6328TG TX
Occupational Vision Optometrist 152WX0102X 6328TG TX

Addresses

Primary practice location

4631 S Hulen St
Fort Worth, TX 76132-1401

Mailing address

4631 S Hulen St
Fort Worth, TX 76132-1401
Phone (817) 346-7077

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
I20040609000644 TX Practitioner - Optometry 1254314420 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyeworks at West 7THGroup PAC ID 6002206042, 4 clinicians
The Eye Group of Texas, LLCGroup PAC ID 7012096928, 5 clinicians
DRCS Group, Inc.Group PAC ID 4880871516, 6 clinicians

Practice addresses (Care Compare)

3017 W 7TH St
Suite 210
Fort Worth, TX 76107-2223
Phone (817) 348-9090

3105 E Southlake Boulevard
Southlake, TX 76092-8051
Phone (817) 310-3989

4631 S Hulen St
Fort Worth, TX 76132-1401
Phone (817) 346-7077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6328TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Group of Texas LLC Optometrist CurrentSince Jun 21, 2017 Accepting new patients
DRCS Group, Inc. Optometrist CurrentSince May 19, 2017 Accepting new patients
Eyeworks at West 7TH Optometrist CurrentSince Nov 1, 2021 Accepting new patients
7TH Street Eyeworks, Inc. Optometrist Past Accepting new patients

Locations

3017 W 7th St
Ste 210
Ft Worth, TX 76107
Phone (817) 346-7077

4631 S Hulen St
Ft Worth, TX 76132
Phone (817) 346-7077

3105 E Southlake Blvd
Southlake, TX 76092
Phone (817) 310-3989

Organizations & group practices 4

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1255313599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321401",
            "telephone_number": "817-346-7077",
            "fax_number": "817-346-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321401",
            "telephone_number": "817-346-7077",
            "fax_number": "817-346-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6328TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "6328TG",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "TX",
            "license": "6328TG",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "6328TG",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "TX",
            "license": "6328TG",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "6328TG",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "TX",
            "license": "6328TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.