Individual provider Active NPI

Jordana Chettiparampil, O.D.

  • Optometrist
  • Sugar Land, TX
National Provider Identifier
1487966883
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7591T Issued in TX
Practice address
17520 Southwest Fwy
Sugar Land, TX 77479
Phone
(281) 607-4545
Fax
(218) 201-6418
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7591T TX Primary

Addresses

Primary practice location

17520 Southwest Fwy
Sugar Land, TX 77479

Mailing address

17520 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 607-4545

Other identifiers 1

IdentifierTypeStateIssuer
7591TOtherTXOD LICENSE

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
I20110127000958 TX Practitioner - Optometry 9739368382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Family Vision PLLCGroup PAC ID 4183850480, 3 clinicians
Eye Experts PLLCGroup PAC ID 4981962867, 2 clinicians

Practice addresses (Care Compare)

17520 Southwest Fwy
Sugar Land, TX 77479-2359
Phone (281) 607-4545

7770 W Grand Pkwy S
Suite B1
Richmond, TX 77406-5897
Phone (832) 685-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7591TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Family Vision PLLC Optometrist CurrentSince Jun 22, 2013 Accepting new patients
Memorial City Tso, P.C. Optometrist Past Accepting new patients
Northshore Tso, Inc. Optometrist Past Accepting new patients

Locations

7770 W Grand Pkwy S
Ste B1
Richmond, TX 77406
Phone (832) 685-2020

17520 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 566-6730

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1487966883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17520 SOUTHWEST FWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "281-607-4545",
            "fax_number": "218-201-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17520 SOUTHWEST FWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "281-607-4545",
            "fax_number": "218-201-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHETTIPARAMPIL",
        "first_name": "JORDANA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7591T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE",
            "identifier": "7591T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.