Individual provider Active NPI

Shawn Meckiel Prapta, O.D.

  • Optometrist
  • Mansfield, TX
National Provider Identifier
1760746606
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7965 Issued in TX
Practice address
121 W Debbie LN
Suite 117
Mansfield, TX 76063-8941
Phone
(682) 518-1177
Fax
(682) 518-8889
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7965 TX Primary

Addresses

Primary practice location

121 W Debbie LN
Suite 117
Mansfield, TX 76063-8941

Mailing address

1650 Highway 287 N
Mansfield, TX 76063-8852
Phone (682) 518-1177

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
I20120831000305 TX Practitioner - Optometry 4688821366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cameron E Smith, OD, PAGroup PAC ID 3870685712, 4 clinicians
Midlothian Vision Associates PLLCGroup PAC ID 3971842683, 5 clinicians

Practice addresses (Care Compare)

1650 Hwy 287 N
Mansfield, TX 76063-8852
Phone (682) 518-1177

1669 S 9TH St
Suite 200
Midlothian, TX 76065-3754
Phone (972) 775-4040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7965TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midlothian Vision Associates, PLLC Optometrist CurrentSince Jan 1, 2019 Accepting new patients

Locations

1650 Highway 287 N
Mansfield, TX 76063
Phone (682) 518-1177

1669 S 9th St
Ste 200
Midlothian, TX 76065
Phone (972) 775-4040

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1760746606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HIGHWAY 287 N",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638852",
            "telephone_number": "682-518-1177",
            "fax_number": "682-518-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W DEBBIE LN",
            "address_2": "SUITE 117",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638941",
            "telephone_number": "682-518-1177",
            "fax_number": "682-518-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAPTA",
        "first_name": "SHAWN",
        "middle_name": "MECKIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.