Individual provider Active NPI

Mehwish Mehboob Ali, OD

  • Optometrist
  • Shenandoah, TX
National Provider Identifier
1548736754
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9469T Issued in TX
Practice address
19075 I 45 S Ste 121B
Shenandoah, TX 77385-8772
Phone
(936) 271-1717
NPI assigned
Oct 16, 2018
Last updated
Oct 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3820 MN
Optometrist 152W00000X 2023021434 MO
Optometrist 152W00000X 3811 TN
Optometrist 152W00000X 3822-35 WI
Optometrist 152W00000X 9469T TX Primary

Addresses

Primary practice location

19075 I 45 S Ste 121B
Shenandoah, TX 77385-8772

Mailing address

7931 Quade CT
Richmond, TX 77469-2332
Phone (512) 961-0569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX, MN, MO, OH, VA, TN7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20231003000613 WI Practitioner - Optometry 5092169573 Reassigns benefits to 3 organizations
I20231004001188 TX Practitioner - Optometry 5092169573 Reassigns benefits to 6 organizations
I20231024003756 MN Practitioner - Optometry 5092169573 Reassigns benefits to 4 organizations
I20231114000247 MO Practitioner - Optometry 5092169573 Reassigns benefits to 4 organizations
I20240917001734 OH Practitioner - Optometry 5092169573 Reassigns benefits to 2 organizations
I20250917001269 VA Practitioner - Optometry 5092169573 Reassigns benefits to 1 organization
I20250919004209 TN Practitioner - Optometry 5092169573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

2703 Richmond Rd
Texarkana, TX 75503-2328
Phone (903) 838-0783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3820MNMDRegistered Dietitian
9469TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eagan Eye Clinic LLC Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Brownwood Optometrists, P.C. Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Oct 31, 2025 Accepting new patients
SDR Practices, LLC Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Tyler Family Circle of Care CurrentSince Jan 24, 2025 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Dec 3, 2023 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Sep 15, 2025 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
DJ-MN Inc CurrentSince Oct 20, 2023 Accepting new patients
First Texas Optometric PC Optometrist CurrentSince Oct 1, 2023 Accepting new patients
International Eyecare Center Inc Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Oct 12, 2023 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Oct 31, 2025 Accepting new patients
Eagan Eye Clinic LLC Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Clarkson Optometry, Inc Optometrist CurrentSince Feb 10, 2025 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Aug 15, 2025 Accepting new patients
DJ-MN Inc CurrentSince Oct 20, 2023 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince Sep 17, 2025 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist Current Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Dec 1, 2023 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Sep 19, 2023 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Paige Hedgpath Odpc Optometrist CurrentSince Nov 1, 2023 Accepting new patients
Eye Care Associates of SC LLC Optometrist CurrentSince Oct 12, 2023 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Sep 19, 2023 Accepting new patients
Visionworks, Inc CurrentSince Dec 1, 2023 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Sep 19, 2023 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Sep 19, 2023 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Sep 15, 2025 Accepting new patients
SDR Practices, LLC Optometrist CurrentSince Dec 6, 2024 Accepting new patients
International Eyecare Center LLC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
First Texas Optometric PC Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince Sep 17, 2025 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Dec 3, 2023 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Aug 15, 2025 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Tyler Family Circle of Care CurrentSince Jan 24, 2025 Accepting new patients
Clarkson Optometry Inc Optometrist CurrentSince Feb 10, 2025 Accepting new patients
Paige Hedgpath OD,PC Optometrist CurrentSince Nov 1, 2023 Accepting new patients
National Vision, Inc. Past Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations (25 of 59)

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

12 Bridge Sq
Ste 101
Anoka, MN 55303
Phone (763) 421-4334

435 S Grove St
Ste 2
Blue Earth, MN 56013
Phone (507) 235-5323

1178 Burnsville Ctr
#2036
Burnsville, MN 55306
Phone (952) 435-5011

6487 Cedar Hills Dr
Cannon Falls, MN 55009
Phone (507) 263-3949

147 W Pearl St
Owatonna, MN 55060
Phone (507) 451-5300

3930 Cedar Grove Pkwy
Saint Paul, MN 55122
Phone (612) 454-5661

1400 Forum Blvd
Ste 14
Columbia, MO 65203
Phone (573) 446-0331

537 W Karsch Blvd
Farmington, MO 63640
Phone (573) 747-4133

215 Progress Rd
Hannibal, MO 63401
Phone (573) 248-1616

1702 N Baltimore St
Kirksville, MO 63501
Phone (660) 665-5674

100 S Jackson St
Perryville, MO 63775
Phone (573) 334-5265

2825 S Glenstone Ave
Ste F11
Springfield, MO 65804
Phone (417) 882-3692

1355 W Main St
Ste A
Bellevue, OH 44811
Phone (419) 483-7685

122 Fowler St
Cortland, OH 44410
Phone (330) 638-8599

768 NW Washington Blvd
Hamilton, OH 45013
Phone (513) 893-8816

4865 Frank Ave NW
North Canton, OH 44720
Phone (330) 494-1710

112 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-6067

2525 Far Hills Ave
Oakwood, OH 45419
Phone (937) 298-0550

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

1674 N Limestone St
Springfield, OH 45503
Phone (937) 322-6411

8254 Mayberry Sq N
Sylvania, OH 43560
Phone (419) 885-5300

2200 Niles Cortland Rd SE
Warren, OH 44484
Phone (330) 349-4078

1449 Boardman Canfield Rd
Ste 230
Youngstown, OH 44512
Phone (330) 758-6671

5537 Mahoning Ave
Youngstown, OH 44515
Phone (330) 542-5677

Organizations & group practices 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1548736754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7931 QUADE CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774692332",
            "telephone_number": "512-961-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19075 I 45 S STE 121B",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858772",
            "telephone_number": "936-271-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "MEHWISH",
        "middle_name": "MEHBOOB",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3820",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2023021434",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3811",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3822-35",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9469T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.