Pankil Shah, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8141-TG Issued in TX

Practice address

8917 Tehama Ridge Pkwy
Fort Worth, TX 76177-2005

Phone

(817) 879-7282

NPI assigned

Jun 28, 2013

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Blink Eye Associates, PLLC

  • Optometrist
  • Fort Worth, TX
  • NPI 1609251693
  NPD (past) Authorized official

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1417397993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8917 TEHAMA RIDGE PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761772005",
            "telephone_number": "817-879-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8917 TEHAMA RIDGE PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761772005",
            "telephone_number": "817-879-7282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 S Loop 288",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762054729",
            "country_code": "US",
            "telephone_number": "940-323-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PANKIL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8141-TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mudita Shah, MD
• Munir Rohitbhai Shah, PHARM D
• Nadia Shah, M.D.
• Neil Dilip Shah, MD
• Nirav Shah, M.D., M.P.H
• Parag P Shah, M.D.
• Parth K Shah, MD
• Pulin Shah, M.D.
• Rinoo Vasant Shah, M.D.
• Shaneel Shailesh Shah, M.B.B.S.

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.