Individual provider Active NPI

Chinelo Okpalaeze, OD

  • Optometrist
  • Copperas Cove, TX
National Provider Identifier
1376138636
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10175T Issued in TX
Practice address
98 Cove Terrace Shopping Ctr
Copperas Cove, TX 76522-2275
Phone
(254) 542-2020
NPI assigned
Mar 8, 2021
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10175T TX Primary

Addresses

Primary practice location

98 Cove Terrace Shopping Ctr
Copperas Cove, TX 76522-2275

Mailing address

3508 Taylor Falls Dr
Pflugerville, TX 78660-5516

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
I20210608000967 TX Practitioner - Optometry 3779983051 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Second Texas Optometric PCGroup PAC ID 6305206673, 8 clinicians

Practice addresses (Care Compare)

402 Sawdust Rd
The Woodlands, TX 77380-2243
Phone (281) 363-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10175TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Second Texas Optometric PC Optometrist CurrentSince Jun 12, 2023 Accepting new patients
First Texas Optometric PC Optometrist Current Accepting new patients
Second Texas Optometric PC Optometrist Current Accepting new patients
First Texas Optometric PC Optometrist CurrentSince Apr 11, 2023 Accepting new patients
Second Texas Optometric PC Optometrist CurrentSince Jun 12, 2023 Accepting new patients
First Texas Optometric PC Optometrist CurrentSince Apr 11, 2023 Accepting new patients
Temple Optometrists, P.C. Optometrist CurrentSince Mar 4, 2021 Accepting new patients
Vision Trends Grandparkway PLLC Optometrist Past Accepting new patients
Vision Trends - Louetta PA Optometrist Past Accepting new patients
Second Texas Optometric PC Optometrist Past Accepting new patients
Vision Trends - Greenspoint PA Optometrist Past Accepting new patients
Vision Trends - Woodlands PA Optometrist Past Accepting new patients
Consolidated Opticals of Texas, Inc. PastSince Mar 16, 2021 Accepting new patients

Locations

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

1329 W Davis St
Conroe, TX 77304
Phone (936) 441-3937

98 Cove Terrace Shopping Ctr
Copperas Cove, TX 76522
Phone (254) 542-2020

127 Greens Rd
Houston, TX 77060
Phone (281) 826-2020

2806 S W S Young Dr
Ste A
Killeen, TX 76542
Phone (254) 634-4800

300 Northpark Dr
Ste 600
Kingwood, TX 77339
Phone (281) 360-1006

4710 Louetta Rd
Spring, TX 77388
Phone (281) 350-2020

6625 Spring Stuebner Rd
Ste 215
Spring, TX 77389
Phone (281) 350-2020

2910 Market Loop
Temple, TX 76502
Phone (254) 778-6165

402 Sawdust Rd
The Woodlands, TX 77380
Phone (281) 363-2020

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1376138636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 TAYLOR FALLS DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 COVE TERRACE SHOPPING CTR",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765222275",
            "telephone_number": "254-542-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPALAEZE",
        "first_name": "CHINELO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10175T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copperas Cove, TX

Sources for this page

Verify at the official NPI Registry.