Organization Active NPI

Faresh Mehta, O.D., P.a.

  • Corneal and Contact Management Optometrist
  • Liberty, TX
National Provider Identifier
1013180116
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
5983TG Issued in TX
Legal business name
FARESH MEHTA, O.D., P.A.
Doing business as
Faresh Mehta, O.D., P.A.
Practice address
2121 Highway 146 Byp
Liberty, TX 77575-6000
Phone
(936) 336-6510
NPI assigned
Apr 9, 2008
Last updated
Dec 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Dr. Faresh S Mehta, O.D.NPI 1285680033
Title
Optometrist
Phone
(936) 336-6510

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
Corneal and Contact Management Optometrist 152WC0802X 5983TG TX Primary

Addresses

Primary practice location

2121 Highway 146 Byp
Liberty, TX 77575-6000

Mailing address

2121 Highway 146 Byp
Liberty, TX 77575-6000
Phone (936) 336-6510

Other names 1

  • Faresh Mehta, O.D., P.A. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091125000154 TX Part B Supplier - Clinic/Group Practice 2062551401 Receives reassigned benefits from 2 practitioners
Practice locations: Beaumont, TX; Houston, TX; Liberty, TX

National Provider Directory

National Provider Directory

Locations

4145 Dowlen Rd
Beaumont, TX 77706
Phone (409) 347-2667

2121 Highway 146 Byp
Liberty, TX 77575
Phone (936) 336-2257

2801 N Main St
Liberty, TX 77575
Phone (409) 347-2667

Practitioners & affiliated clinicians

Practitioners 5

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": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1013180116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 HIGHWAY 146 BYP",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775756000",
            "telephone_number": "936-336-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 HIGHWAY 146 BYP",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775756000",
            "telephone_number": "936-336-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARESH MEHTA, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "FARESH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "936-336-6510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "5983TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faresh Mehta, O.D., P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberty, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.