Individual provider Active NPI

Victoria Chu, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1477020220
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9584 Issued in TX
Practice address
6035 NW Loop 410
San Antonio, TX 78238-3301
Phone
(210) 680-5451
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9584 TX Primary

Addresses

Primary practice location

6035 NW Loop 410
San Antonio, TX 78238-3301

Mailing address

239 N Center St Unit 263
San Antonio, TX 78202-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190928000170 TX Practitioner - Optometry 2163752494 Reassigns benefits to 1 organization
I20251007003045 CA Practitioner - Optometry 2163752494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

801 53Rd St
Apt 5
Emeryville, CA 94608-3263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9584TXMDBehavioral Analyst
36068CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
James E Bruns OD a Professional CurrentSince Sep 8, 2025 Accepting new patients
Berg En Dal PLLC Optometrist CurrentSince Jan 4, 2021 Accepting new patients
Berg En Dal PLLC Optometrist CurrentSince Jan 4, 2021 Accepting new patients

Locations

6180 State Farm Dr
Rohnert Park, CA 94928
Phone (707) 584-7294

3601 W William Cannon Dr
Ste 150
Austin, TX 78749
Phone (512) 441-8924

2407 S Congress Ave
Ste 100A
Austin, TX 78704
Phone (512) 233-6879

Organizations & group practices 3

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": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1477020220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 N CENTER ST UNIT 263",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782020005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 NW LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383301",
            "telephone_number": "210-680-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "VICTORIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.