Sallekh Shakya

Primary specialty

OptometristTaxonomy code 152W00000X

License

10082 Issued in TX

Practice address

4901 Calhoun Rd
Houston, TX 77204-2020

Phone

(713) 743-2020

Fax

(713) 743-0963

NPI assigned

Aug 11, 2020

Last updated

Aug 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Optometry

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Source Oviedo, IncGroup PAC ID 3375574429, 4 clinicians

Vision Source Maitland, LLCGroup PAC ID 8921545369, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vision Source Maitland, LLC

  dba Vision Source

  • Optometrist
  • Oviedo, FL
  • NPI 1033283288
  Medicare reassignment Care Compare group NPD
• Vision Source Maitland, LLC

  dba Vision Source

  • Optometrist
  • Maitland, FL
  • NPI 1194597690
  Medicare reassignment Care Compare group NPD
• Vision Source Maitland, LLC

  dba Vision Source

  • Medical Specialty Clinic/Center
  • Oviedo, FL
  • NPI 1154124642
  NPD
• Vision Source Maitland, LLC

  • Optometrist
  • Winter Springs, FL
  • NPI 1891582714
  NPD

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1336750652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 CALHOUN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772042020",
            "telephone_number": "713-743-2020",
            "fax_number": "713-743-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 CALHOUN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772042020",
            "telephone_number": "713-743-2020",
            "fax_number": "713-743-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKYA",
        "first_name": "SALLEKH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qaydisha Latay Shakir
• Stacie Ann Shakir
• Rahim Shakoor
• Maryam Shakouri, NP
• Brianna Alexandria Shakur
• Shalaish Pathak (Briarwood CMHC)
• Asana Laleeka Shaleena
• Ori Shalev, D.D.S.
• Khayri Hamdi Shalhoub, M.D.
• Shalom and Shiloh Corporation

• Optometrist in Houston, TX
• Providers in Houston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.