Individual provider Active NPI

Ashley Varakalayil, O.D.

  • Optometrist
  • Garland, TX
National Provider Identifier
1376957530
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8538T Issued in TX
Practice address
6850 N Shiloh Rd
Garland, TX 75044-2912
Phone
(972) 414-0444
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.010808 IL
Optometrist 152W00000X 8538T TX Primary

Addresses

Primary practice location

6850 N Shiloh Rd
Garland, TX 75044-2912

Mailing address

259 Benwick Dr
Sunnyvale, TX 75182-3256
Phone (630) 408-1805

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
I20241009002951 TX Practitioner - Optometry 1254557598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

3385 Naaman School Rd
Garland, TX 75040-8717
Phone (972) 496-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8538TXMDBehavioral Analyst
046.010808ILMDOptometrist
8538TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Jul 26, 2024 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist PastSince Jun 17, 2014 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

3385 Naaman School Rd
Garland, TX 75040
Phone (972) 469-2020

6850 N Shiloh Rd
Garland, TX 75044
Phone (972) 496-4403

803 Woodbridge Pkwy
Ste 1400
Wylie, TX 75098
Phone (972) 442-2250

Organizations & group practices 3

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1376957530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 BENWICK DR",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751823256",
            "telephone_number": "630-408-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N SHILOH RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442912",
            "telephone_number": "972-414-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARAKALAYIL",
        "first_name": "ASHLEY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010808",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8538T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.