Individual provider Active NPI

Shin Sawai, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1801576145
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10996 Issued in TX
Practice address
4401 Martin Luther King Blvd
Houston, TX 77204-3069
Phone
(713) 743-1921
Fax
(713) 743-0963
NPI assigned
Jul 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10996 TX Primary

Addresses

Primary practice location

4401 Martin Luther King Blvd
Houston, TX 77204-3069

Mailing address

13930 Bellaire Blvd
Houston, TX 77083-1719
Phone (713) 773-0803

Other practice location 1

13930 Bellaire Blvd
Houston, TX 77083-1719
Phone (713) 773-0803

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
I20230808002601 TX Practitioner - Optometry 5395107312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7001 Corporate Dr
Suite 120
Houston, TX 77036-5113
Phone (713) 773-0803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10996TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Asian American Health Coalition of the Greater Houston Area Current Accepting new patients
University of Houston System Optometrist Current Accepting new patients
Asian American Health Coalition of the Greater Houston Area CurrentSince Apr 1, 2024 Accepting new patients
Asian American Health Coalition of the Greater Houston Area CurrentSince Apr 1, 2024 Accepting new patients
Asian American Health Coalition of the Greater Houston Area Current Accepting new patients
University of Houston System CurrentSince Jul 15, 2023 Accepting new patients
University of Houston CurrentSince Jul 15, 2023 Accepting new patients

Locations

190 Heights Blvd
Houston, TX 77007
Phone (713) 527-8480

7001 Corporate Dr
Ste 120
Houston, TX 77036
Phone (713) 333-7273

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

13930 Bellaire Blvd
Houston, TX 77083
Phone (713) 333-7273

Organizations & group practices 7

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": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1801576145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13930 BELLAIRE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770831719",
            "telephone_number": "713-773-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 MARTIN LUTHER KING BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772043069",
            "telephone_number": "713-743-1921",
            "fax_number": "713-743-0963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13930 Bellaire Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770831719",
            "country_code": "US",
            "telephone_number": "713-773-0803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAWAI",
        "first_name": "SHIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.