Individual provider Active NPI

Faheem Inayatali, O.D., M.B.A.

  • Optometrist
  • Houston, TX
National Provider Identifier
1740601087
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8339TG Issued in TX
Practice address
10101 Bissonnet St
Houston, TX 77036-7855
Phone
(713) 777-2020
NPI assigned
Jan 3, 2014
Last updated
Jun 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8339TG TX Primary

Addresses

Primary practice location

10101 Bissonnet St
Houston, TX 77036-7855

Mailing address

10101 Bissonnet St
Houston, TX 77036-7855
Phone (713) 777-2020

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
I20140502000358 TX Practitioner - Optometry 7315170156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
8339TXMDRehabilitation Chiropractor
8339TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dry Eye Center Optometrist CurrentSince Sep 24, 2024 Accepting new patients

Locations

13440 University Blvd
Ste 130
Sugar Land, TX 77479
Phone (281) 800-9050

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1740601087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 BISSONNET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367855",
            "telephone_number": "713-777-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 BISSONNET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367855",
            "telephone_number": "713-777-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INAYATALI",
        "first_name": "FAHEEM",
        "name_prefix": "Dr.",
        "credential": "O.D., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-03",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8339TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.