Individual provider Active NPI

Shenila Rajani, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1629444252
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15329TLG Issued in CA
Practice address
12349 I -35
San Antonio, TX 78233
Phone
(210) 776-7708
NPI assigned
Aug 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15329TLG CA Primary

Addresses

Primary practice location

12349 I -35
San Antonio, TX 78233

Mailing address

1114 La Canada
San Antonio, TX 78258-2955
Phone (210) 776-7708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220718000818 CA Practitioner - Optometry 5799086948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3471 W Century Blvd
Inglewood, CA 90303-1218
Phone (310) 330-0180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15329TLGCAMDOptometrist
15329CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Hour Eye Care Optometric Corporation Optometrist Current Accepting new patients
Shenila Rajani OD Inc Optometrist CurrentSince Jun 13, 2022 Accepting new patients

Locations

3471 W Century Blvd
Inglewood, CA 90303
Phone (310) 330-0180

Organizations & group practices 2

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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1629444252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 LA CANADA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582955",
            "telephone_number": "210-776-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12349 I -35",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78233",
            "telephone_number": "210-776-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJANI",
        "first_name": "SHENILA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15329TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.