Individual provider Active NPI

Bex Shahi, O.D.

  • Optometrist
  • Roseburg, OR
National Provider Identifier
1114378601
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2550 Issued in MD
Practice address
2282 NW Troost St Ste 104
Roseburg, OR 97471-6072
Phone
(541) 672-7428
NPI assigned
Jun 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2550 MD Primary

Addresses

Primary practice location

2282 NW Troost St Ste 104
Roseburg, OR 97471-6072

Mailing address

1277 NE Lincoln St
Roseburg, OR 97470-2181
Phone (940) 676-6243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20220523002294 OR Practitioner - Optometry 3476849340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare for You PCGroup PAC ID 3274975321, 2 clinicians

Practice addresses (Care Compare)

2282 NW Troost St
Suite 104
Roseburg, OR 97471-6072
Phone (541) 672-7428

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4495ORMDSocial Worker
TA2550MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Makayla Adams OD PC Optometrist CurrentSince Jun 3, 2025 Accepting new patients
Eyecare for You PC Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Thomas Leech, O.D.,P.C. Optometrist CurrentSince Apr 29, 2022 Accepting new patients

Locations

2282 NW Troost St
Ste 104
Roseburg, OR 97471
Phone (541) 672-7428

Organizations & group practices 3

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": "1466812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1114378601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 NE LINCOLN ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702181",
            "telephone_number": "940-676-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 NW TROOST ST STE 104",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716072",
            "telephone_number": "541-672-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHI",
        "first_name": "BEX",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-25",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.