Individual provider Active NPI

Shu Heng Chen, O.D.

  • Optometrist
  • Richardson, TX
National Provider Identifier
1710064589
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5960 T Issued in TX
Practice address
300 Terrace Dr
Suite #310a
Richardson, TX 75081-6065
Phone
(972) 792-8880
Fax
(972) 792-9992
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5960 T TX Primary

Addresses

Primary practice location

300 Terrace Dr
Suite #310a
Richardson, TX 75081-6065

Mailing address

3608 Dandelion Dr
Plano, TX 75093-7229
Phone (469) 467-1116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170224000792 NY Practitioner - Optometry 8628967585 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4160 Main St
Suite 215
Flushing, NY 11355-3899
Phone (929) 888-3822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5960 TTXMDOptometrist
008378NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sightrite Inc Optometrist CurrentSince Jul 12, 2017 Accepting new patients
Amy Y Chen Optometry P.C. Optometrist CurrentSince Feb 9, 2017 Accepting new patients
Terrace Eyecare Optometrist Past Accepting new patients

Locations

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

21 Ferncliff Dr
Rhinebeck, NY 12572
Phone (845) 516-1663

134 Great East Neck Rd
West Babylon, NY 11704
Phone (631) 321-3850

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1710064589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 DANDELION DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937229",
            "telephone_number": "469-467-1116",
            "fax_number": "972-599-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TERRACE DR",
            "address_2": "SUITE #310A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750816065",
            "telephone_number": "972-792-8880",
            "fax_number": "972-792-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "SHU HENG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5960 T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.