Individual provider Active NPI

Arsalah Shiraz Bana, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1023689742
Registry record updated Jul 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10182 Issued in TX
Practice address
2677 Wilcrest Dr
Houston, TX 77042-3211
Phone
(713) 977-1170
NPI assigned
Jul 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10182 TX Primary

Addresses

Primary practice location

2677 Wilcrest Dr
Houston, TX 77042-3211

Mailing address

214 Sintra Lake Way
Richmond, TX 77469-5372
Phone (713) 517-6799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211208003266 TX Practitioner - Optometry 2466842372 Reassigns benefits to 1 organization
I20251030001505 FL Practitioner - Optometry 2466842372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

36 Maple St
Kearny, NJ 07032-1927

8990 N Davis Hwy
Pensacola, FL 32514-5305

8990 N Davis Hwy
Apt 6
Pensacola, FL 32514-5304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10182TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Sep 7, 2021 Accepting new patients
Friendly Eyes Optometry LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

5641 Red Bug Lake Rd
Unit 1B
Winter Springs, FL 32708
Phone (407) 961-5678

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

2677 Wilcrest Dr
Houston, TX 77042
Phone (713) 977-1170

1229 W 43rd St
Houston, TX 77018
Phone (713) 686-3221

23701 Cinco Ranch Blvd
Ste 170
Katy, TX 77494
Phone (281) 347-3937

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625270400000",
    "number": "1023689742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SINTRA LAKE WAY",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774695372",
            "telephone_number": "713-517-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423211",
            "telephone_number": "713-977-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANA",
        "first_name": "ARSALAH",
        "middle_name": "SHIRAZ",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-03",
        "last_updated": "2021-07-03",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.