Shirin Mawji-Ali, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5518 Issued in FL

Practice address

19421 Sheridan St
Fort Lauderdale, FL 33332-1653

Phone

(954) 621-1321

NPI assigned

Oct 23, 2018

Sex

Female

Sole proprietor

Yes

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

New England College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primera Eye Care LLCGroup PAC ID 4789923574, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Primera Eye Care LLC

  • Optometrist
  • Lake Mary, FL
  • NPI 1922574037
  Medicare reassignment Care Compare group NPD
• Doc Vision Eye Care Centers, LLC

  • Point of Service
  • Fort Lauderdale, FL
  • NPI 1790105963
  NPD (past)

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1407322845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 SW",
            "address_2": "33RD CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33029",
            "telephone_number": "954-258-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19421 SHERIDAN ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333321653",
            "telephone_number": "954-621-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18700 SW",
            "address_2": "33RD CT",
            "address_purpose": "LOCATION",
            "city": "miramar",
            "state": "FL",
            "postal_code": "33029",
            "country_code": "US",
            "telephone_number": "954-258-3228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAWJI-ALI",
        "first_name": "SHIRIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Adam Matthews
• Christina Diane Mattingly, MD
• Richard Peter Maulion, M.D.
• Cinthia S Maupin, LCSW
• Mawji O.D., LLC
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maxim Medical Center PA
• Maximum Fitness
• Maxine E Hamilton Mdpa

• Optometrist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.