Individual provider Active NPI

Grace T. Chen, OD

  • Optometrist
  • San Marcos, TX
National Provider Identifier
1437924040
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10858 Issued in TX
Practice address
2406 Hunter Rd Ste 102
San Marcos, TX 78666-5256
Phone
(512) 271-6961
Fax
(512) 754-6197
NPI assigned
Nov 24, 2023
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10858 TX Primary

Addresses

Primary practice location

2406 Hunter Rd Ste 102
San Marcos, TX 78666-5256

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20240110004834 TX Practitioner - Optometry 9638520984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

11645 Angus Rd
Suite 5
Austin, TX 78759-4020
Phone (512) 345-5641

15004 Avery Ranch Blvd
Suite 103
Austin, TX 78717-4600
Phone (512) 255-7070

2406 Hunter Rd
Suite 102
San Marcos, TX 78666-5256
Phone (512) 754-6161

2703 Richmond Rd
Texarkana, TX 75503-2328
Phone (903) 838-0783

4613 Bee Caves Rd
Suite 201
West Lake Hills, TX 78746-5207
Phone (512) 347-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10858TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Dec 4, 2023 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Dec 4, 2023 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

11645 Angus Rd
Ste 5
Austin, TX 78759
Phone (512) 345-5641

2406 Hunter Rd
Ste 102
San Marcos, TX 78666
Phone (512) 271-6961

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1437924040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 HUNTER RD STE 102",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665256",
            "telephone_number": "512-271-6961",
            "fax_number": "512-754-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "GRACE",
        "middle_name": "T.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-24",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.