Individual provider Active NPI

Nadine Shihabeddin, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1023742525
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10642 Issued in TX
Practice address
8717 Highway 6 N
Houston, TX 77095-2204
Phone
(281) 859-8000
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10642 TX Primary

Addresses

Primary practice location

8717 Highway 6 N
Houston, TX 77095-2204

Mailing address

2686 Murworth Dr Apt 1508
Houston, TX 77054-1616
Phone (682) 564-3279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220831001426 TX Practitioner - Optometry 1759765357 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10642TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Source - Copperfield PA Optometrist CurrentSince Jul 25, 2022 Accepting new patients

Locations

8717 Highway 6 N
Houston, TX 77095
Phone (281) 859-8000

Organizations & group practices 1

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1023742525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 MURWORTH DR APT 1508",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541616",
            "telephone_number": "682-564-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 HIGHWAY 6 N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952204",
            "telephone_number": "281-859-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIHABEDDIN",
        "first_name": "NADINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.