Organization Active NPI

Kwok Li MD PA

  • Ophthalmology Physician
  • Shenandoah, TX
National Provider Identifier
1487675369
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L2418 Issued in TX
Legal business name
KWOK LI MD PA
Practice address
9200 Pinecroft Dr Ste 455
Shenandoah, TX 77380-3280
Phone
(936) 273-0606
Fax
(936) 273-0607
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
Dr. Kwok Li, M.D.NPI 1487641353
Title
MD
Phone
(936) 273-0606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X L2418 TX Primary

Addresses

Primary practice location

9200 Pinecroft Dr Ste 455
Shenandoah, TX 77380-3280

Mailing address

PO Box 270536
Houston, TX 77277-0536
Phone (936) 293-0606

Other practice location 1

17350 St Lukes Way Ste 330
The Woodlands, TX 77384
Phone (936) 273-0606

Other names 1

  • Advanced Eye Center of Texas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050321000818 TX Part B Supplier - Clinic/Group Practice 6507811775 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX; Shenandoah, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Advanced Eye Center of Texas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8200 Wednesbury Ln
Ste 100
Houston, TX 77074
Phone (832) 971-2523

9200 Pinecroft Dr
Ste 455
Shenandoah, TX 77380
Phone (281) 292-7246

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1487675369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270536",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772770536",
            "telephone_number": "936-293-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 PINECROFT DR STE 455",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803280",
            "telephone_number": "936-273-0606",
            "fax_number": "936-273-0607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17350 St Lukes Way Ste 330",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "77384",
            "country_code": "US",
            "telephone_number": "936-273-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KWOK LI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "KWOK",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "936-273-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L2418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eye Center of Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Eye Center of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.