Active NPI
Kavita Mistry
- Optometrist
- Beeville, TX
National Provider Identifier
1326073255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5003TG
- Practice address
- 502 E FM 351
Beeville, TX 78102-2208 - Phone
- (361) 362-1666
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5003TG | TX | Primary |
Addresses
Primary practice location
502 E FM 351
Beeville, TX 78102-2208
Mailing address
303 N Shore Rd
Mathis, TX 78368-4046
Phone (361) 362-1666
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019257701 | Medicaid | TX | |
| 00E19T | Other | TX | BLUCE CROSS BLUE SHEILD |
| 742720948 | Other | TX | TAX ID |
| 839686 | Other | TX | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5003TG | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399248000000",
"number": "1326073255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N SHORE RD",
"city": "MATHIS",
"state": "TX",
"postal_code": "783684046",
"telephone_number": "361-362-1666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 E FM 351",
"city": "BEEVILLE",
"state": "TX",
"postal_code": "781022208",
"telephone_number": "361-362-1666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISTRY",
"first_name": "KAVITA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2014-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5003TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019257701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUCE CROSS BLUE SHEILD",
"identifier": "00E19T",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "742720948",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "839686",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beeville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.