Individual provider Active NPI

Adrian Chang

  • Optometrist
  • Tomball, TX
National Provider Identifier
1659193142
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11254 Issued in TX
Practice address
27000 Tomball Pkwy
Tomball, TX 77433
Phone
(832) 843-0810
NPI assigned
Oct 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11254 TX Primary

Addresses

Primary practice location

27000 Tomball Pkwy
Tomball, TX 77433

Mailing address

27000 Tomball Parkway
Tomball, TX 77433

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
I20251013000760 TX Practitioner - Optometry 6901393255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23511 Eula Mae LN
Richmond, TX 77469-2886

910 S Wayside Dr
Suite 400
Houston, TX 77023-3417

PO Box
Suite 1005
Southaven, MS 38671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11254TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Icare 2020 LLC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Jorclara Inc Optometrist PastSince Sep 1, 2025 Accepting new patients

Locations

910 S Wayside Dr
Ste 400
Houston, TX 77023
Phone (713) 921-0233

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1659193142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27000 TOMBALL PARKWAY",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27000 TOMBALL PKWY",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77433",
            "telephone_number": "832-843-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ADRIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.