Individual provider Active NPI

Timothy Szu, OD

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1689320152
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10480 Issued in TX
Practice address
3625 W Vickery Blvd Ste B
Fort Worth, TX 76107-5640
Phone
(817) 612-9780
Fax
(817) 612-9785
NPI assigned
Feb 23, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10480 TX Primary

Addresses

Primary practice location

3625 W Vickery Blvd Ste B
Fort Worth, TX 76107-5640

Mailing address

3625 W Vickery Blvd Ste B
Fort Worth, TX 76107-5640
Phone (817) 612-9780

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
I20260507001002 TX Practitioner - Optometry 4183192750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3625 W Vickery Blvd
Suite B
Fort Worth, TX 76107-5640

9322 Cut Bank Dr
Colorado Springs, CO 80908-4417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10480TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Worth Vision Optometrist Current Accepting new patients
Forney Eye Associates PLLC Optometrist PastSince Feb 27, 2022 Accepting new patients

Locations

3625 W Vickery Blvd
Ste B
Fort Worth, TX 76107
Phone (626) 255-2171

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": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1689320152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 W VICKERY BLVD STE B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075640",
            "telephone_number": "817-612-9780",
            "fax_number": "817-612-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 W VICKERY BLVD STE B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075640",
            "telephone_number": "817-612-9780",
            "fax_number": "817-612-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZU",
        "first_name": "TIMOTHY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-23",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.