Individual provider Active NPI

Rachel Fan Chen, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1700165073
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7761TG Issued in TX
Practice address
6400 Fannin St FL 18
Houston, TX 77030-1521
Phone
(713) 559-5200
NPI assigned
Aug 4, 2011
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7761TG TX Primary

Addresses

Primary practice location

6400 Fannin St FL 18
Houston, TX 77030-1521

Mailing address

6400 Fannin St Ste 1800
Houston, TX 77030-1526
Phone (713) 559-5200

Other identifiers 1

IdentifierTypeStateIssuer
305858802MedicaidTX

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
I20120321000579 TX Practitioner - Optometry 6608036074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 2961732193, 206 clinicians

Practice addresses (Care Compare)

11920 Astoria Blvd
Suite 292
Houston, TX 77089-6155
Phone (713) 486-7970

1602 Garth Rd
Baytown, TX 77520-2410
Phone (281) 837-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.63 of 100Reported as group
Quality
68.75
Promoting interoperability
100
Improvement activities
40
Cost
72.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7761TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin County Eye Associates PA Optometrist CurrentSince Jan 1, 2014 Accepting new patients
Ut Physicians CurrentSince Jun 1, 2021 Accepting new patients
Clear Lake Eye Center Optometrist PastSince Feb 17, 2014 Accepting new patients
Complete Eyecare PC Optometrist Past Accepting new patients

Locations

1602 Garth Rd
Beach City, TX 77520
Phone (281) 837-2700

11920 Astoria Blvd
Ste 292
Houston, TX 77089
Phone (713) 486-7970

6400 Fannin St
Fl 18
Houston, TX 77030
Phone (713) 559-1777

6400 Fannin St
Ste 1800
Houston, TX 77030
Phone (713) 486-9400

6410 Fannin St
Ste LL135
Houston, TX 77030
Phone (832) 325-6543

6411 Fannin St
Fl 7
Houston, TX 77030
Phone (713) 704-1777

1617 Meyer St
Sealy, TX 77474
Phone (866) 861-3937

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1700165073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 1800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301526",
            "telephone_number": "713-559-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST FL 18",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301521",
            "telephone_number": "713-559-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "RACHEL",
        "middle_name": "FAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7761TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305858802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.