Individual provider Active NPI

Viral Desai, O.D.

  • Optometrist
  • Richmond, TX
National Provider Identifier
1396850319
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6210TG Issued in TX
Practice address
5610 W Grand Pkwy S
Ste 500
Richmond, TX 77406-5801
Phone
(281) 232-2024
Fax
(281) 232-2013
NPI assigned
Aug 20, 2006
Last updated
Sep 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6210TG TX Primary

Addresses

Primary practice location

5610 W Grand Pkwy S
Ste 500
Richmond, TX 77406-5801

Mailing address

5610 W Grand Pkwy S
Ste 500
Richmond, TX 77406-5801
Phone (281) 232-2024

Other identifiers 1

IdentifierTypeStateIssuer
6210TGOtherTXLICENSE

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
I20090130000345 TX Practitioner - Optometry 9830253160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1211 Lake Pointe Pkwy
Suite 110
Sugar Land, TX 77478-4624
Phone (281) 232-2024

5610 W Grand Pkwy S
Suite 500
Richmond, TX 77406-5806
Phone (281) 232-2024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6210TXMDChiropractor
6210TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mahant Drashti, PA Optometrist CurrentSince Oct 1, 2018 Accepting new patients
Medoz Pharmacy of Osceola Inc PastSince Mar 18, 2011 Accepting new patients
Blount Kimball Medical Optometry PA Optometrist PastSince Feb 1, 1999 Accepting new patients

Locations

5610 W Grand Pkwy S
Ste 500
Richmond, TX 77406
Phone (281) 232-2013

1211 Lake Pointe Pkwy
#P
Sugar Land, TX 77478
Phone (281) 232-2024

1211 Lake Pointe Pkwy
Ste 110
Sugar Land, TX 77478
Phone (281) 232-2024

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1396850319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 W GRAND PKWY S",
            "address_2": "STE 500",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065801",
            "telephone_number": "281-232-2024",
            "fax_number": "281-232-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 W GRAND PKWY S",
            "address_2": "STE 500",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065801",
            "telephone_number": "281-232-2024",
            "fax_number": "281-232-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "VIRAL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6210TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6210TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.