Individual provider Active NPI

Shirley Kurian Pannapara, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1326173345
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5442TG Issued in TX
Practice address
8831 Long Point Rd
Ste 100
Houston, TX 77055-3010
Phone
(713) 465-8353
Fax
(844) 272-6562
NPI assigned
Feb 22, 2007
Last updated
Sep 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5442TG TX Primary

Addresses

Primary practice location

8831 Long Point Rd
Ste 100
Houston, TX 77055-3010

Mailing address

8831 Long Point Rd
Ste 100
Houston, TX 77055-3010
Phone (713) 465-8353

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
I20041019001320 TX Practitioner - Optometry 4183685563 Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5442TXMDChiropractor
5442TGTXMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1326173345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8831 LONG POINT RD",
            "address_2": "STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553010",
            "telephone_number": "713-465-8353",
            "fax_number": "844-272-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8831 LONG POINT RD",
            "address_2": "STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553010",
            "telephone_number": "713-465-8353",
            "fax_number": "844-272-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNAPARA",
        "first_name": "SHIRLEY",
        "middle_name": "KURIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5442TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.