Individual provider Active NPI

Shelby Ann Tomek, OD

  • Optometrist
  • Webster, TX
National Provider Identifier
1609504281
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10548T Issued in TX
Practice address
17040 Galveston Rd
Webster, TX 77598
Phone
(281) 338-8474
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10548T TX Primary

Addresses

Primary practice location

17040 Galveston Rd
Webster, TX 77598

Mailing address

528 Green Cedar Dr
League City, TX 77573-3964
Phone (903) 238-7110

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
I20221216001831 TX Practitioner - Optometry 3678942406 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Longview Eye Associates PAGroup PAC ID 5294832986, 7 clinicians
Ward Eye Associates PCGroup PAC ID 7911308283, 6 clinicians

Practice addresses (Care Compare)

1821 Judson Rd
Longview, TX 75605-4710
Phone (903) 758-8832

2306 E End Blvd S
Ward Eye Associates
Marshall, TX 75672-7469
Phone (903) 938-2555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10548TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Houston CurrentSince Dec 1, 2023 Accepting new patients
Ward Eye Associates PC Optometrist CurrentSince Apr 9, 2024 Accepting new patients
University of Houston System Optometrist CurrentSince Dec 1, 2023 Accepting new patients
Longview Eye Associates. PA Optometrist CurrentSince Apr 9, 2024 Accepting new patients
Clear Lake Eye Center Optometrist PastSince Nov 1, 2022 Accepting new patients

Locations

105 Cottage Rd
Carthage, TX 75633
Phone (800) 730-4915

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

190 Heights Blvd
Houston, TX 77007
Phone (713) 527-8480

1821 Judson Rd
Longview, TX 75605
Phone (903) 758-8832

2306 E End Blvd S
Marshall, TX 75672
Phone (903) 938-2555

2001 W Ferguson Rd
Ste 2020
Mt Pleasant, TX 75455
Phone (903) 572-1991

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1609504281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 GREEN CEDAR DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733964",
            "telephone_number": "903-238-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17040 GALVESTON RD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "77598",
            "telephone_number": "281-338-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMEK",
        "first_name": "SHELBY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10548T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.