Provider Demographics
NPI:1710163183
Name:VICTOR T. CHU, O.D.,P.A.
Entity Type:Organization
Organization Name:VICTOR T. CHU, O.D.,P.A.
Other - Org Name:VISION CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:M
Authorized Official - Last Name:WESTFALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-859-9136
Mailing Address - Street 1:6839 HIGHWAY 6 N
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-1315
Mailing Address - Country:US
Mailing Address - Phone:281-859-9136
Mailing Address - Fax:281-550-2814
Practice Address - Street 1:6839 HIGHWAY 6 N
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-1315
Practice Address - Country:US
Practice Address - Phone:281-859-9136
Practice Address - Fax:281-550-2814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2477T332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB102961OtherMEDICARE ID
TXTXB102961OtherMEDICARE ID
TX4258040001Medicare NSC
TXU12216Medicare UPIN