Active NPI
Avni Gajjar, O.D.
- Optometrist
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8658
- Practice address
- 6037 Harris Pkwy
Fort Worth, TX 76132-4103 - Phone
- (817) 294-2800
- NPI assigned
- Jun 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8658 | TX | Primary |
Addresses
Primary practice location
6037 Harris Pkwy
Fort Worth, TX 76132-4103
Mailing address
6037 Harris Pkwy
Fort Worth, TX 76132-4103
Phone (817) 294-2800
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151019002329 | TX | Practitioner - Optometry | 4284943036 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wedgwood Eyecare PC
Practice addresses (Care Compare)
6037 Harris Pkwy
Fort Worth, TX 76132-4103
Phone (817) 294-2800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8658 | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wedgwood Eyecare PC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
Locations
5832 Boat Club Rd
Fort Worth, TX 76179
Phone (817) 237-7153
6037 Harris Pkwy
Fort Worth, TX 76132
Phone (817) 294-2800
2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783
8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020
Interoperability endpoints
- avni.gajjar@uprisedirect.com
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1811378367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6037 HARRIS PKWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761324103",
"telephone_number": "817-294-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6037 HARRIS PKWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761324103",
"telephone_number": "817-294-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAJJAR",
"first_name": "AVNI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-10",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.