Aditya Mehta, M.D.
Individual provider Active NPI Ophthalmology Physician · Shelton, WA
NPI 1679964324 · NPPES record last updated May 20, 2026
Key facts
- NPI
- 1679964324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- CDR.0006983 (CO)
- Practice address
- 1701 N 13TH St
Shelton, WA 98584-2077 - Phone
- (360) 426-2653
- NPI assigned
- Feb 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in TX, NM, MT, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191121001935 | TX | Practitioner - Ophthalmology | 3678905148 | Reassigns benefits to 1 organization |
| I20210820002857 | NM | Practitioner - Ophthalmology | 3678905148 | Reassigns benefits to 1 organization |
| I20250122001053 | MT | Practitioner - Ophthalmology | 3678905148 | Reassigns benefits to 1 organization |
| I20250605002755 | WA | Practitioner - Ophthalmology | 3678905148 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDR.0006983 | CO | MD | Ophthalmology Physician |
| MD61619491 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Billings Cinic | Current |
Accepting new patients | |
| Kentucky Institute for Eye Health & Surgery | Ophthalmology | Current | Accepting new patients |
| Tri-State Centers for Sight Inc | Ophthalmology | Current |
Accepting new patients |
| Billings Clinic | Current | Accepting new patients | |
| Sun Eye Care PA | Ophthalmology | Current |
Accepting new patients |
| Public Hospital District No 1 of Mason County Wa | Current |
Accepting new patients | |
| Fillmore Eye Clinic Incorporated | Ophthalmology | Current |
Accepting new patients |
| Tri-State Centers for Sight, Inc. | Ophthalmology | Current |
Accepting new patients |
| Fillmore Eye Clinic Incorporated | Ophthalmology | Current |
Accepting new patients |
| Kentucky Institute for Eye Health & Surgery | Ophthalmology | Current |
Accepting new patients |
| Kentucky Institute for Eye Health & Surgery | Ophthalmology | Current |
Accepting new patients |
| Public Hospital District No 1 of Mason County | Current |
Accepting new patients | |
| Billings Clinic | Current |
Accepting new patients |
Locations
65 E City Dam Rd
Corbin, KY 40701
Phone (606) 528-9393
2865 Chancellor Dr
Ste 210
Crestview Hills, KY 41017
Phone (859) 331-1058
308 N Main St
Cynthiana, KY 41031
Phone (606) 759-7883
500 Thomas More Pkwy
Ft Mitchell, KY 41017
Phone (859) 341-4525
601 Perimeter Dr
Ste 100
Lexington, KY 40517
Phone (859) 268-1201
1937 Old Main St
Ste 1
Maysville, KY 41056
Phone (606) 528-9393
1431 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-7772
333 Beacon Hill Rd
Ste 200
Morehead, KY 40351
Phone (606) 784-3288
103 Brandon Way
Ste B
Mt Sterling, KY 40353
Phone (859) 498-9393
341 Court St
Paintsville, KY 41240
Phone (606) 784-3393
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
801 N 29th St
Billings, MT 59101
Phone (406) 238-2210
1124 10th St
Alamogordo, NM 88310
Phone (575) 434-1200
850 W Florida St
Deming, NM 88030
Phone (505) 546-6548
4111 Camino Coyote
#A
Las Cruces, NM 88011
Phone (575) 522-3393
500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808
5920 Cromo Dr
El Paso, TX 79912
Phone (915) 532-3697
1701 N 13th St
Shelton, WA 98584
Phone (360) 426-2653
1710 N 13th Loop Rd
Shelton, WA 98584
Phone (360) 426-4142
901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDEJBD
- amehta@fec.intellechartdirect.net
- aditya.mehta.p1@direct.kyeyeinst.nextgenshare.com
- aditya.mehta@direct.myhealthep.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD2021-0820 | NM | |
| Ophthalmology Physician | 207W00000X | MD61619491 | WA | |
| Ophthalmology Physician | 207W00000X | CDR.0006983 | CO | Yes |
Addresses
Primary practice location
1701 N 13TH St
Shelton, WA 98584-2077
Mailing address
PO Box 1668
Shelton, WA 98584-5001
Phone (360) 426-2653
Other practice location 1
2030 S Solano Dr
Las Cruces, NM 88001-5402
Phone (575) 521-1158
Other practice location 2
6179 S Balsam Way Ste 210
Littleton, CO 80123-3093
Phone (505) 554-0768
Other practice location 3
1515 S 8th St
Deming, NM 88030-4940
Phone (575) 544-3937
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD2021-0820 | Other | NM | NM LICENSE |
| MD61619491 | Other | WA | WA LICENSE |
| CDR.0006983 | Other | CO | CO LICENSE |
| S3023 | Other | TX | TX LICENSE |
Other providers in Shelton, WA
- Yupin McLin
- Julieth McNeil
- Josselyn Sue Meagley
- Melanie Meaker
- Nikki Ann Reyes Medina
- Eric Andrew Melody
- Ezekiel Derek Alexander Melquist
- Heather Liv Melver
- Jesus Danny Mendiola-Lopez
- Erik M Mendiola
All providers in Shelton, WA · Ophthalmology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.