Individual provider Active NPI

Sharareh Salkhordeh, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1730213901
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6347T Issued in TX
Practice address
10901 Lakeline Mall Dr
Austin, TX 78717-5924
Phone
(521) 246-3937
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6347T TX Primary

Addresses

Primary practice location

10901 Lakeline Mall Dr
Austin, TX 78717-5924

Mailing address

8201 N FM 6201
Austin, TX 78726-4032
Phone (512) 328-2015

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
I20040605000170 TX Practitioner - Optometry 1355323031 Practice locations: Austin, TX; Cedar Park, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2801 E Whitestone Blvd
Cedar Park, TX 78613-7273
Phone (512) 259-1255

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6347TXMDBehavioral Analyst
6347TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Four Points Family Vision PastSince Jan 21, 2011 Accepting new patients
Optometric Associates of Texas P.a. Optometrist PastSince Oct 16, 2022 Accepting new patients

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1730213901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 N FM 6201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787264032",
            "telephone_number": "512-328-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 LAKELINE MALL DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175924",
            "telephone_number": "521-246-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALKHORDEH",
        "first_name": "SHARAREH",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6347T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.