Individual provider Active NPI

Yi Shun Cheuk, OD

  • Optometrist
  • Rosenberg, TX
National Provider Identifier
1689301194
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10584 Issued in TX
Practice address
4000 Avenue I
Rosenberg, TX 77471-3904
Phone
(281) 342-4664
NPI assigned
Aug 4, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10584 TX Primary

Addresses

Primary practice location

4000 Avenue I
Rosenberg, TX 77471-3904

Mailing address

4000 Avenue I
Rosenberg, TX 77471-3904
Phone (281) 342-4664

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
I20221219000788 TX Practitioner - Optometry 3971972761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exceptional Eye Care Consultants IncGroup PAC ID 2466719174, 6 clinicians

Practice addresses (Care Compare)

202 E Boling Hwy
Wharton, TX 77488-3107
Phone (979) 532-4500

4000 Ave I
Rosenberg, TX 77471-3904
Phone (281) 342-4664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10584TXMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Eye Care Consultants Inc Optometrist CurrentSince Oct 19, 2022 Accepting new patients
Exceptional Eye Care Consultants Inc Optometrist CurrentSince Oct 19, 2022 Accepting new patients

Locations

4000 Avenue I
Rosenberg, TX 77471
Phone (281) 342-4664

202 E Boling Hwy
Wharton, TX 77488
Phone (281) 701-2871

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": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1689301194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 AVENUE I",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774713904",
            "telephone_number": "281-342-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 AVENUE I",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774713904",
            "telephone_number": "281-342-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUK",
        "first_name": "YI SHUN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

Verify at the official NPI Registry.