Active NPI
Nimra Shaikh, OD
- Optometrist
- Kyle, TX
National Provider Identifier
1366059065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9953
- Practice address
- 5167 Kyle Center Dr Ste 103
Kyle, TX 78640-6621 - Phone
- (512) 268-7600
- NPI assigned
- Sep 26, 2020
- 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 | 9953 | TX | Primary |
Addresses
Primary practice location
5167 Kyle Center Dr Ste 103
Kyle, TX 78640-6621
Mailing address
135 Foremost Dr Apt 1205
Austin, TX 78745-7335
Phone (281) 352-6659
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 |
|---|---|---|---|
| 9953 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601078400000",
"number": "1366059065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 FOREMOST DR APT 1205",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787457335",
"telephone_number": "281-352-6659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5167 KYLE CENTER DR STE 103",
"city": "KYLE",
"state": "TX",
"postal_code": "786406621",
"telephone_number": "512-268-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAIKH",
"first_name": "NIMRA",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-26",
"last_updated": "2020-09-26",
"certification_date": "2020-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "9953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.