MEDICARE: VICTOR T. CHU, O.D.,P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier	2477T	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	TXB102961	OTHER	TX	MEDICARE ID

General Provider Information

NPI Number	:	1710163183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICTOR T. CHU, O.D.,P.A.

Provider Business Mailing Address
First Line	:	6839 HIGHWAY 6 N
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-1315
Country	:	US
Telephone Number	:	281-859-9136
Fax Number	:	281-550-2814

Provider Business Practice Location Address
First Line	:	6839 HIGHWAY 6 N
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-1315
Country	:	US
Telephone Number	:	281-859-9136
Fax Number	:	281-550-2814

Authorized Official
Title or Position	:	INSURANCE COORDINATOR
Name	:	MRS. LORI M WESTFALL
Credential	:
Telephone Number	:	281-859-9136

Provider Enumeration Date	:	01/16/2008
Last Update Date	:	08/04/2010

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Directions to “VICTOR T. CHU, O.D.,P.A. ” Practice Location

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