Individual provider Active NPI

Priti Trivedi, OD

  • Optometrist
  • Cedar Hill, TX
National Provider Identifier
1144808767
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10131 Issued in TX
Practice address
425 E Pleasant Run Rd Ste 299
Cedar Hill, TX 75104-1883
Phone
(469) 523-0000
NPI assigned
Apr 2, 2021
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10131 TX Primary

Addresses

Primary practice location

425 E Pleasant Run Rd Ste 299
Cedar Hill, TX 75104-1883

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

3400 Howell St Apt 232
Dallas, TX 75204-3543
Phone (267) 799-3779

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
I20210428000949 TX Practitioner - Optometry 3577971738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

10150 Legacy Dr
Suite 300
Frisco, TX 75033-6731
Phone (469) 444-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10131TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Apr 19, 2021 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Jun 7, 2024 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Apr 19, 2021 Accepting new patients
Frisco Family Vision, PLLC Optometrist Past Accepting new patients
Pope Enterprises PLLC Optometrist Past Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
Dianne Bui Dao OD PC Optometrist PastSince Apr 24, 2011 Accepting new patients

Locations

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

425 E Pleasant Run Rd
Ste 299
Cedar Hill, TX 75104
Phone (469) 523-0000

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

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

1102 S Friendswood Dr
Ste A
Friendswood, TX 77546
Phone (281) 482-0066

10150 Legacy Dr
Ste 300
Frisco, TX 75033
Phone (469) 444-8888

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

819 Ira E Woods Ave
Grapevine, TX 76051
Phone (817) 488-4893

3032 N Eastman Rd
Ste 100
Longview, TX 75605
Phone (903) 663-2020

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

100 Country View Dr
Ste 100
Roanoke, TX 76262
Phone (817) 491-2018

670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1144808767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E PLEASANT RUN RD STE 299",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041883",
            "telephone_number": "469-523-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Howell St Apt 232",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752043543",
            "country_code": "US",
            "telephone_number": "267-799-3779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "PRITI",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

Verify at the official NPI Registry.