Active NPI
Victoria Chu, OD
- Optometrist
- San Antonio, TX
National Provider Identifier
1477020220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9584
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9584 | TX | MD | Behavioral Analyst |
| 36068 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James E Bruns OD a Professional | Current | Accepting new patients | |
| Berg En Dal PLLC | Optometrist | Current | Accepting new patients |
| Berg En Dal PLLC | Optometrist | Current | 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.
-
- Optometrist
- Austin, TX
- NPI 1740373141
-
- Point of Service
- Rohnert Park, CA
- NPI 1306112362
-
- Optometrist
- Austin, TX
- NPI 1881787281
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.