Individual provider Active NPI

Alice Kachinski, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1760886071
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6403T Issued in TX
Practice address
3700 Buffalo Speedway
325
Houston, TX 77098-3700
Phone
(713) 355-3500
Fax
(713) 355-3505
NPI assigned
Oct 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6403T TX Primary

Addresses

Primary practice location

3700 Buffalo Speedway
325
Houston, TX 77098-3700

Mailing address

3700 Buffalo Speedway
325
Houston, TX 77098-3700
Phone (713) 355-3500

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
I20230531002627 TX Practitioner - Optometry 5496112765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6403TTXMDOptometrist

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": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1760886071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 BUFFALO SPEEDWAY",
            "address_2": "325",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983700",
            "telephone_number": "713-355-3500",
            "fax_number": "713-355-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 BUFFALO SPEEDWAY",
            "address_2": "325",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983700",
            "telephone_number": "713-355-3500",
            "fax_number": "713-355-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHINSKI",
        "first_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6403T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.