Individual provider Active NPI

Shail Gajjar

  • Optometrist
  • Houston, TX
National Provider Identifier
1093403933
Registry record updated Jul 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10848TG Issued in TX
Practice address
5115 Fannin St Ste 1000
Houston, TX 77004-5899
Phone
(713) 580-2500
NPI assigned
Apr 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10848TG TX Primary

Addresses

Primary practice location

5115 Fannin St Ste 1000
Houston, TX 77004-5899

Mailing address

4856 Palomar LN
League City, TX 77573-1586

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
I20240613003627 TX Practitioner - Optometry 9739548751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mann Eye Center, PAGroup PAC ID 4082513379, 48 clinicians

Practice addresses (Care Compare)

1601 Hwy 59 Loop N
Suite 100
Livingston, TX 77351-6687
Phone (936) 327-3937

Merit-based Incentive Payment System (MIPS)

Final score
87.12 of 100Reported as group
Quality
89.41
Promoting interoperability
88
Improvement activities
40
Cost
77.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10848TXMDDental Hygienist
10848TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mann Eye Center, PA Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Mann Eye Center Optometrist CurrentSince Jul 1, 2024 Accepting new patients
University of Houston CurrentSince Jan 7, 2026 Accepting new patients
University of Houston System CurrentSince Jan 7, 2026 Accepting new patients
Mann Eye Center, PA Past Accepting new patients
University of Houston System Optometrist Past Accepting new patients
Mann Eye Center, PA Past Accepting new patients

Locations

429 W Southline St
Ste 200
Cleveland, TX 77327
Phone (281) 592-4343

190 Heights Blvd
Houston, TX 77007
Phone (713) 527-8480

5115 Fannin St
Fl 10
Houston, TX 77004

5115 Fannin St
Ste 1000
Houston, TX 77004
Phone (713) 275-2457

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

5115 Fannin St
Houston, TX 77004

9802 FM 1960 Bypass Rd W
Ste 110
Humble, TX 77338
Phone (281) 446-2514

1601 Highway 59 Loop N
Ste 100
Livingston, TX 77352
Phone (936) 327-3937

1501 Lake Robbins Dr
Ste 130
The Woodlands, TX 77380

Organizations & group practices 7

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": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752364800000",
    "number": "1093403933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4856 PALOMAR LN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 FANNIN ST STE 1000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770045899",
            "telephone_number": "713-580-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJJAR",
        "first_name": "SHAIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-27",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10848TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.