Organization Active NPI

Dr. Amit Shah & Associates

Doing business as TSO Katy Ranch

  • Optometrist
  • Katy, TX
National Provider Identifier
1013172048
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6256TG Issued in TX
Legal business name
DR. AMIT SHAH & ASSOCIATES
Doing business as
TSO Katy Ranch
Practice address
24441 Katy Fwy
Suite 300
Katy, TX 77494-1376
Phone
(281) 392-4010
NPI assigned
Jul 18, 2008
Last updated
Aug 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Authorized official

Name
Dr. Amit Shah, O.D.NPI 1962452409
Title
President
Phone
(281) 392-4010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6256TG TX Primary

Addresses

Primary practice location

24441 Katy Fwy
Suite 300
Katy, TX 77494-1376

Mailing address

24441 Katy Fwy
Suite 300
Katy, TX 77494-1376
Phone (281) 392-4010

Other identifiers 1

IdentifierTypeStateIssuer
347524OtherTXMEDICARE PTAN

Other names 1

  • TSO Katy Ranch Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100127000785 TX Part B Supplier - Clinic/Group Practice 1052453198 Receives reassigned benefits from 2 practitioners
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1013172048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24441 KATY FWY",
            "address_2": "SUITE 300",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941376",
            "telephone_number": "281-392-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24441 KATY FWY",
            "address_2": "SUITE 300",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941376",
            "telephone_number": "281-392-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. AMIT SHAH & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-392-4010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6256TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "347524",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TSO Katy Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.