Individual provider Active NPI

Marilyn T. Chow, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1811051162
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4784T Issued in TX
Practice address
955 McKinney St
Houston, TX 77002-6308
Phone
(713) 995-0042
Fax
(713) 995-0548
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4784T TX Primary

Addresses

Primary practice location

955 McKinney St
Houston, TX 77002-6308

Mailing address

955 McKinney St
Houston, TX 77002-6308
Phone (713) 995-0042

Other identifiers 1

IdentifierTypeStateIssuer
4784TOtherTXMEDICAL LICENSE

Other names 1

  • Marilyn T. Chow Professional name

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
I20080604000113 TX Practitioner - Optometry 1456421320 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4784TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James Kong, PC Optometrist CurrentSince Jul 19, 2012 Accepting new patients

Locations

919 Milam St
Ste T1000
Houston, TX 77002
Phone (713) 652-2010

955 McKinney St
Houston, TX 77002
Phone (713) 652-2010

5101 Avenue H
Ste 67
Rosenberg, TX 77471
Phone (281) 342-5848

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1811051162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MCKINNEY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770026308",
            "telephone_number": "713-995-0042",
            "fax_number": "713-995-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MCKINNEY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770026308",
            "telephone_number": "713-995-0042",
            "fax_number": "713-995-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOW",
        "first_name": "MARILYN",
        "middle_name": "T.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4784T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "4784T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "CHOW",
            "middle_name": "T.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.