Individual provider Active NPI

Chase Morgan Wilson, MD

  • Ophthalmology Physician
  • League City, TX
National Provider Identifier
1255994844
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
U3057 Issued in TX
Practice address
1100 Gulf Fwy S Ste 114
League City, TX 77573-5148
Phone
(281) 332-3937
NPI assigned
Apr 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X U3057 TX Primary

Addresses

Primary practice location

1100 Gulf Fwy S Ste 114
League City, TX 77573-5148

Mailing address

2855 Gramercy St Ste 400
Houston, TX 77025-1756
Phone (713) 668-6828

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chase.wilson@houstoneye.direct.eyemdemr.com Direct

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230630001968 TX Practitioner - Ophthalmology 5890027957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in Shreveport, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hea Clinic PAGroup PAC ID 1254227440, 40 clinicians

Practice addresses (Care Compare)

1100 Gulf Fwy S
Suite 114
League City, TX 77573-5148
Phone (281) 332-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
U3057TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hea Clinic PA Ophthalmology Current Accepting new patients
Hea Clinic, PA Ophthalmology CurrentSince Jun 19, 2023 Accepting new patients

Locations

5614 E Sam Houston Pkwy N
Houston, TX 77015
Phone (713) 678-8288

2855 Gramercy St
Houston, TX 77025
Phone (713) 668-1828

2855 Gramercy St
Ste 400
Houston, TX 77025

1100 Gulf Fwy S
Ste 114
League City, TX 77573
Phone (281) 332-3937

5125 Fairmont Pkwy
Pasadena, TX 77505
Phone (713) 477-6929

10907 Memorial Hermann Dr
Ste 150
Pearland, TX 77584
Phone (281) 582-9100

1111 Highway 6
Ste 120
Sugar Land, TX 77478
Phone (281) 565-2020

Interoperability endpoints

  • Direct secure messaging: chase.wilson@houstoneye.direct.eyemdemr.com

Organizations & group practices 2

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": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1255994844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 GRAMERCY ST STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251756",
            "telephone_number": "713-668-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GULF FWY S STE 114",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735148",
            "telephone_number": "281-332-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHASE",
        "middle_name": "MORGAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-18",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "U3057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chase.wilson@houstoneye.direct.eyemdemr.com",
            "affiliation": "N",
            "endpointDescription": "direct message address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1100 Gulf Fwy S Ste 114",
            "city": "League City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775735148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.