Organization Active NPI

Av Eyecare

  • Optometrist
  • Irving, TX
National Provider Identifier
1134873136
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AV EYECARE
Practice address
4070 N Belt Line Rd Ste 168
Irving, TX 75038-5010
Phone
(972) 258-2020
Fax
(972) 250-2030
NPI assigned
Feb 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Vidhi Atul Shah, ODNPI 1730689621
Title
Optometrist
Phone
(972) 258-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4070 N Belt Line Rd Ste 168
Irving, TX 75038-5010

Mailing address

1470 N Kimball Ave
Southlake, TX 76092-4702
Phone (510) 456-8115

Other practice location 1

1701 W State Highway 114 Ste 1
Grapevine, TX 76051-8652
Phone (972) 258-2020

Other practice location 2

1213 Market Pl Ste 1
Irving, TX 75063-7235
Phone (972) 258-2020

Other names 2

  • Spectocular Doing business as
  • Tilson Eyecare Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240515001762 TX Part B Supplier - Clinic/Group Practice 8921449414 Receives reassigned benefits from 3 practitioners
Practice locations: Irving, TX

National Provider Directory

National Provider Directory

Locations

1701 W State Highway 114
Ste 1
Grapevine, TX 76051
Phone (972) 258-2020

1213 Market Pl
Ste 100
Irving, TX 75063

1213 Market Pl
Ste 1
Irving, TX 75063
Phone (972) 258-2020

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1134873136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 N KIMBALL AVE",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924702",
            "telephone_number": "510-456-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 N BELT LINE RD STE 168",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750385010",
            "telephone_number": "972-258-2020",
            "fax_number": "972-250-2030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 W State Highway 114 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760518652",
            "country_code": "US",
            "telephone_number": "972-258-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1213 Market Pl Ste 1",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750637235",
            "country_code": "US",
            "telephone_number": "972-258-2020",
            "fax_number": "972-258-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AV EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "VIDHI",
        "authorized_official_middle_name": "ATUL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "972-258-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectocular",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tilson Eyecare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.