Active NPI
Julia Chan, O.D.
- Optometrist
- Lewisville, TX
National Provider Identifier
1598124281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8690
- Practice address
- 420 E Round Grove Rd
Suite 610
Lewisville, TX 75067-8307 - Phone
- (469) 528-1201
- NPI assigned
- Feb 23, 2016
- 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 | 8690 | TX | Primary |
Addresses
Primary practice location
420 E Round Grove Rd
Suite 610
Lewisville, TX 75067-8307
Mailing address
420 E Round Grove Rd
Suite 610
Lewisville, TX 75067-8307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8690 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optician
- Lewisville, TX
- NPI 1114392032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1598124281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E ROUND GROVE RD",
"address_2": "SUITE 610",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750678307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E ROUND GROVE RD",
"address_2": "SUITE 610",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750678307",
"telephone_number": "469-528-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "JULIA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-23",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.