Individual provider Active NPI

Christy Yeet-Yeon Jew, O.D.

  • Optometrist
  • Magnolia, TX
National Provider Identifier
1710290655
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7600TG Issued in TX
Practice address
6519 FM 1488 Rd
Suite 503
Magnolia, TX 77354-3263
Phone
(281) 946-2020
Fax
(281) 946-2025
NPI assigned
Jul 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7600TG TX Primary

Addresses

Primary practice location

6519 FM 1488 Rd
Suite 503
Magnolia, TX 77354-3263

Mailing address

6519 FM 1488 Rd
Suite 503
Magnolia, TX 77354-3263
Phone (281) 946-2020

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
I20101230000061 TX Practitioner - Optometry 8426246737

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6519 FM 1488 Rd
Suite 503
Magnolia, TX 77354-2420

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7600TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Christy's Eye Associates, LLC Optometrist CurrentSince Nov 21, 2010 Accepting new patients

Locations

6519 FM 1488 Rd
Ste 503
Magnolia, TX 77354
Phone (281) 946-2020

Interoperability endpoints

  • Direct secure messaging: christy.jew@uprisedirect.com

Organizations & group practices 1

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": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1710290655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6519 FM 1488 RD",
            "address_2": "SUITE 503",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773543263",
            "telephone_number": "281-946-2020",
            "fax_number": "281-946-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6519 FM 1488 RD",
            "address_2": "SUITE 503",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773543263",
            "telephone_number": "281-946-2020",
            "fax_number": "281-946-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEW",
        "first_name": "CHRISTY",
        "middle_name": "YEET-YEON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7600TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

Verify at the official NPI Registry.