Individual provider Active NPI

Ching Yin Winnie Lo, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1902554223
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10517 Issued in TX
Practice address
11159 Westheimer Rd
Houston, TX 77042-3218
Phone
(713) 978-7504
Fax
(713) 266-5828
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10517 TX Primary

Addresses

Primary practice location

11159 Westheimer Rd
Houston, TX 77042-3218

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

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
I20220504000445 TX Practitioner - Optometry 6800283276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Amit Shah and AssociatesGroup PAC ID 1052453198, 2 clinicians

Practice addresses (Care Compare)

25116 Market Place Dr
Suite 100
Katy, TX 77494-8807
Phone (281) 392-4010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10517TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Amit Shah & Associates Optometrist CurrentSince Jan 27, 2023 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince May 1, 2022 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince May 1, 2022 Accepting new patients
Oculusdoc LLC Optometrist PastSince Oct 13, 2024 Accepting new patients

Locations

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

11159 Westheimer Rd
Houston, TX 77042
Phone (713) 978-7504

24441 Katy Fwy
Ste 300
Katy, TX 77494
Phone (281) 392-4010

25116 Market Place Dr
Ste 100
Katy, TX 77494
Phone (281) 392-4010

24200 Southwest Fwy
Ste 102
Rosenberg, TX 77471
Phone (281) 342-3554

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 5

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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1902554223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11159 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423218",
            "telephone_number": "713-978-7504",
            "fax_number": "713-266-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "CHING YIN WINNIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.