Individual provider Active NPI

Chan Quach, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1487632626
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6561TG Issued in TX
Practice address
5866 E Sam Houston Pkwy N Ste B
Houston, TX 77049-2527
Phone
(281) 436-1757
Fax
(281) 454-4825
NPI assigned
Jan 6, 2006
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6561TG TX Primary
Vision Therapy Optometrist 152WV0400X 6561TG TX

Addresses

Primary practice location

5866 E Sam Houston Pkwy N Ste B
Houston, TX 77049-2527

Mailing address

5866 E Sam Houston Pkwy N Ste B
Houston, TX 77049-2527
Phone (281) 436-1757

Other identifiers 2

IdentifierTypeStateIssuer
TXB104561OtherMEDICARE- INDIVIDUAL PTAN
1800161OtherTXMEDICAID - INDIVIDUAL ID

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
I20041106000210 TX Practitioner - Optometry 7719940113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5866 E Sam Houston Pkwy N
Suite B
Houston, TX 77049-2527
Phone (281) 436-1757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6561TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Vision Care Optometrist CurrentSince Apr 15, 2010 Accepting new patients
Tom Annunziato, O.D., P.C. Optometrist Past Accepting new patients

Locations

5866 E Sam Houston Pkwy N
Ste B
Houston, TX 77049
Phone (281) 436-1757

22850 Morton Ranch Rd
Katy, TX 77449
Phone (281) 665-2333

Organizations & group practices 2

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1487632626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5866 E SAM HOUSTON PKWY N STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770492527",
            "telephone_number": "281-436-1757",
            "fax_number": "281-454-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5866 E SAM HOUSTON PKWY N STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770492527",
            "telephone_number": "281-436-1757",
            "fax_number": "281-454-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACH",
        "first_name": "CHAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6561TG",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "6561TG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- INDIVIDUAL PTAN",
            "identifier": "TXB104561",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - INDIVIDUAL ID",
            "identifier": "1800161",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.