Individual provider Active NPI

Preety Grewal, OD

  • Optometrist
  • Dallas, TX
National Provider Identifier
1306361910
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9293 Issued in TX
Practice address
6464 E Northwest Hwy
Dallas, TX 75214-7800
Phone
(469) 248-0670
NPI assigned
Aug 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 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 9293 TX Primary

Addresses

Primary practice location

6464 E Northwest Hwy
Dallas, TX 75214-7800

Mailing address

1054 Maer Dr
Allen, TX 75013-2863
Phone (972) 974-4045

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
I20211208003037 TX Practitioner - Optometry 0244620151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farah Hassam LLCGroup PAC ID 7416234729, 3 clinicians

Practice addresses (Care Compare)

8055 Churchill Way
See Clear Eye Care
Dallas, TX 75251-2149
Phone (469) 680-7561

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9293TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Farah Hassam LLC Optometrist CurrentSince Jan 10, 2022 Accepting new patients

Locations

8055 Churchill Way
Dallas, TX 75251
Phone (469) 680-7556

Organizations & group practices 1

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": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1306361910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 MAER DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132863",
            "telephone_number": "972-974-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 E NORTHWEST HWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752147800",
            "telephone_number": "469-248-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "PREETY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.