Individual provider Active NPI

Kim Van Chau, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1659975308
Registry record updated Mar 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10132TG Issued in TX
Practice address
1229 W 43Rd St
Houston, TX 77018-4203
Phone
(713) 686-3221
NPI assigned
Nov 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10132 TX
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 10132T TX
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 10132TG TX Primary

Addresses

Primary practice location

1229 W 43Rd St
Houston, TX 77018-4203

Mailing address

1229 W 43Rd St
Houston, TX 77018-4203
Phone (713) 686-3221

Other practice location 1

11805 Westheimer Rd
Houston, TX 77077-6763
Phone (281) 496-3937

Other names 1

  • Kim Chau Other name

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
I20210223000037 TX Practitioner - Optometry 6002221124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

23701 Cinco Ranch Blvd
Suite 170
Katy, TX 77494-3291
Phone (281) 347-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10132TTXMDOptometrist
10132TGTXMDOptometrist
10132TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Dec 14, 2020 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
Aeg Florida Professional PLLC Optometrist Past Accepting new patients

Locations

211 E Broadway
Alton, IL 62002
Phone (314) 787-0681

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

1229 W 43rd St
Houston, TX 77018
Phone (713) 686-3221

11805 Westheimer Rd
Ste 300
Houston, TX 77077
Phone (281) 496-0689

11805 Westheimer Rd
Houston, TX 77077
Phone (281) 496-3937

23701 Cinco Ranch Blvd
Ste 170
Katy, TX 77494
Phone (281) 347-3937

Organizations & group practices 3

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": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616889600000",
    "number": "1659975308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 W 43RD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770184203",
            "telephone_number": "713-686-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 W 43RD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770184203",
            "telephone_number": "713-686-3221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11805 Westheimer Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770776763",
            "country_code": "US",
            "telephone_number": "281-496-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAU",
        "first_name": "KIM VAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10132",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10132T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10132TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "CHAU",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.