Individual provider Active NPI

Safinaz Gamini, OD

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1477228484
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10329 Issued in TX
Practice address
655 Taylor St
Fort Worth, TX 76102-4821
Phone
(817) 289-6800
Fax
(817) 289-6825
NPI assigned
Aug 11, 2021
Last updated
Aug 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10329 TX Primary

Addresses

Primary practice location

655 Taylor St
Fort Worth, TX 76102-4821

Mailing address

655 Taylor St
Fort Worth, TX 76102-4821
Phone (817) 289-6800

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
I20210826001059 TX Practitioner - Optometry 9234534421 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Houston System Optometrist CurrentSince Aug 9, 2021 Accepting new patients
University of Houston CurrentSince Aug 9, 2021 Accepting new patients
Jonathan Cargo, O.D., P.a. Optometrist CurrentSince Jun 20, 2023 Accepting new patients
University of Houston System Optometrist Current Accepting new patients
Eyevisible Optometry Optometrist Current Accepting new patients

Locations

655 Taylor St
Fort Worth, TX 76102
Phone (817) 289-6800

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

1135 Kinwest Pkwy
Ste 100
Irving, TX 75063
Phone (972) 432-2020

Organizations & group practices 5

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": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1477228484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 TAYLOR ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024821",
            "telephone_number": "817-289-6800",
            "fax_number": "817-289-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 TAYLOR ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024821",
            "telephone_number": "817-289-6800",
            "fax_number": "817-289-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMINI",
        "first_name": "SAFINAZ",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.