Organization Active NPI

Glacier Optical

  • Eyewear Supplier
  • Houston, TX
National Provider Identifier
1356000301
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
GLACIER OPTICAL
Doing business as
Glacier Optical
Practice address
9889 Bellaire Blvd Ste 252
Houston, TX 77036-3593
Phone
(713) 774-2773
NPI assigned
Dec 16, 2021
Last updated
Dec 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Daw-Ching Yu, ABOC, NCLCNPI 1477747376
Title
President/Owner
Phone
(713) 774-2773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

9889 Bellaire Blvd Ste 252
Houston, TX 77036-3593

Mailing address

9889 Bellaire Blvd Ste 252
Houston, TX 77036-3593
Phone (713) 774-2773

Other names 1

  • Glacier Optical Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Glacier Optical9889 Bellaire Blvd, Houston, TX 77036-3593(713) 774-2773 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jul 18, 2016

National Provider Directory

National Provider Directory

Locations

9889 Bellaire Blvd
Ste 252
Houston, TX 77036
Phone (713) 774-2773

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1356000301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9889 BELLAIRE BLVD STE 252",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363593",
            "telephone_number": "713-774-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9889 BELLAIRE BLVD STE 252",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363593",
            "telephone_number": "713-774-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACIER OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "DAW-CHING",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "713-774-2773",
        "authorized_official_credential": "ABOC, NCLC"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glacier Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.