Divya Jitendra Mistry, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11675TG Issued in TX

Practice address

2525 Lucas Dr
Dallas, TX 75219-1804

Phone

(214) 528-7354

NPI assigned

Jun 22, 2026

Last updated

Jun 22, 2026By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Optometry

Education

Southern College of Optometry, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Uh Eye Care

  • Optometrist
  • Houston, TX
  • NPI 1801726153
  NPD (past)
• University of Houston

  • Community Health Worker
  • Houston, TX
  • NPI 1366081622
  NPD (past)
• University of Houston System

  dba Cedar Springs Eye Clinic

  • Optometrist
  • Dallas, TX
  • NPI 1174660260
  NPD (past)

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1477489995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 MARTIN LUTHER KING BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772042020",
            "telephone_number": "713-743-1921",
            "fax_number": "713-743-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 LUCAS DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752191804",
            "telephone_number": "214-528-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "DIVYA",
        "middle_name": "JITENDRA",
        "name_prefix": "Miss",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11675TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "11675TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mission Critical Valor Psychology of California, P.C.
• Mission Critical-Valor, P.a.
• Mission East Dallas and Metroplex Project, Inc.
• Missouri Outpatient Services PC
• Faithe Rhiannon Mistretta-Hamilton, MSW, LCSW
• Sachi Mistry, MD
• Mitchell Huebner, MD
• George James Mitchell-Tapping, M.D.
• Naima Mitchell-Turner, RN
• Aaron Mitchell

• Optometrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.