Individual provider Active NPI

Shelby D Gross, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1134501950
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8704TG Issued in TX
Practice address
841 Yale St Apt 2
Houston, TX 77007-1612
Phone
(832) 641-2722
NPI assigned
Jun 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3611ATI OR
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 8704 TX
Optometrist 152W00000X 8704TG TX Primary

Addresses

Primary practice location

841 Yale St Apt 2
Houston, TX 77007-1612

Mailing address

1324 Edwards St
Houston, TX 77007-6210
Phone (832) 641-2722

Other practice location 1

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964
Phone (832) 641-2722

Other practice location 2

23701 Cinco Ranch Blvd Ste 170
Katy, TX 77494-3291
Phone (281) 347-3937

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
I20170614002875 TX Practitioner - Optometry 0446567317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shelby Debnam VisionGroup PAC ID 0143684068, 2 clinicians

Practice addresses (Care Compare)

841 Yale St
Apt 2
Houston, TX 77007-1612
Phone (832) 302-4648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8704TXMDChiropractor
3611ATIORMDOptometrist
8704TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Shelby Debnam Vision Optometrist CurrentSince Jun 23, 2023 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

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

238 Meyerland Plaza Mall
Houston, TX 77096
Phone (713) 771-2020

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

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

2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020

16200 City Walk
Sugar Land, TX 77479
Phone (281) 265-2000

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": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1134501950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 EDWARDS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770076210",
            "telephone_number": "832-641-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 YALE ST APT 2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770071612",
            "telephone_number": "832-641-2722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3710 SW US Veterans Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972392964",
            "country_code": "US",
            "telephone_number": "832-641-2722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23701 Cinco Ranch Blvd Ste 170",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774943291",
            "country_code": "US",
            "telephone_number": "281-347-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "SHELBY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3611ATI",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8704",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8704TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.