Individual provider Active NPI

Shelvi Shah, OD

  • Optometrist
  • Manor, TX
National Provider Identifier
1154995546
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10515 Issued in TX
Practice address
11300 US Highway 290 E Ste 220
Manor, TX 78653-0397
Phone
(512) 910-3937
NPI assigned
May 19, 2021
Last updated
May 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1097 NV
Optometrist 152W00000X 10515 TX Primary

Addresses

Primary practice location

11300 US Highway 290 E Ste 220
Manor, TX 78653-0397

Mailing address

11300 US Highway 290 E Ste 220
Manor, TX 78653-0397

Other practice location 1

415 US Highway 95A S Unit A
Fernley, NV 89408-9261
Phone (775) 575-5700

Other practice location 2

10000 Research Blvd Ste 150
Austin, TX 78759-5814
Phone (512) 345-5642

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
I20221214000343 TX Practitioner - Optometry 1355741315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11300 US Hwy 290 E
Suite 220
Manor, TX 78653-0397
Phone (512) 910-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10515TXMDProfessional Counselor
1097NVMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kyle Vision PLLC Optometrist CurrentSince Aug 26, 2025 Accepting new patients
Manor Vision PLLC Optometrist CurrentSince Feb 13, 2023 Accepting new patients

Locations

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

5581 Kyle Center Dr
Ste 101
Kyle, TX 78640
Phone (512) 268-7600

11300 US Highway 290 E
Ste 220
Manor, TX 78653
Phone (512) 778-2015

Organizations & group practices 2

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": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1154995546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 US HIGHWAY 290 E STE 220",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786530397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 US HIGHWAY 290 E STE 220",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786530397",
            "telephone_number": "512-910-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 US Highway 95A S Unit A",
            "address_purpose": "LOCATION",
            "city": "Fernley",
            "state": "NV",
            "postal_code": "894089261",
            "country_code": "US",
            "telephone_number": "775-575-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10000 Research Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787595814",
            "country_code": "US",
            "telephone_number": "512-345-5642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHELVI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1097",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manor, TX

Sources for this page

Verify at the official NPI Registry.