Provider Demographics
NPI:1679705438
Name:HILTON, CHASE RYAN (OD)
Entity Type:Individual
Prefix:
First Name:CHASE
Middle Name:RYAN
Last Name:HILTON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18545 W LAKE HOUSTON PKWY
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3392
Mailing Address - Country:US
Mailing Address - Phone:281-812-4000
Mailing Address - Fax:281-812-3331
Practice Address - Street 1:18545 W LAKE HOUSTON PKWY
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346
Practice Address - Country:US
Practice Address - Phone:281-812-4000
Practice Address - Fax:281-812-3331
Is Sole Proprietor?:No
Enumeration Date:2009-08-12
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7461TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX283407904Medicaid
TX1451981-03Medicaid
TX283407903Medicaid
TX1451981-04Medicaid
TX1451981-03Medicaid
TX404345YNEWMedicare PIN
TX1451981-04Medicaid
TXTXB131788Medicare PIN