Individual provider Active NPI

Rajal Goswami Noorali, O.D.

  • Optometrist
  • Granbury, TX
National Provider Identifier
1891051660
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7575TG Issued in TX
Practice address
735 E Hwy 377
Granbury, TX 76048-2578
Phone
(817) 964-3455
NPI assigned
Apr 5, 2012
Last updated
Jun 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7575TG TX Primary

Addresses

Primary practice location

735 E Hwy 377
Granbury, TX 76048-2578

Mailing address

735 East Hwy 377
Granbury, TX 76048-2578
Phone (817) 964-3455

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
I20140113001235 TX Practitioner - Optometry 3678701968 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

1607 W Henderson St
Suite N
Cleburne, TX 76033-4179
Phone (817) 645-7733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7575TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Mar 21, 2025 Accepting new patients
Texas Stellar Optometry Optometrist CurrentSince Nov 1, 2016 Accepting new patients
Stellar Eyes Optometrist CurrentSince Jan 1, 2023 Accepting new patients
Star Retina PLLC CurrentSince Oct 1, 2022 Accepting new patients
Dianne Bui Dao OD PC Optometrist PastSince Apr 24, 2011 Accepting new patients
Pope Enterprises PLLC Optometrist Past Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

2780 SW Wilshire Blvd
Burleson, TX 76028
Phone (817) 378-4777

1607 W Henderson St
Cleburne, TX 76033
Phone (817) 645-7733

1607 W Henderson St
Ste N
Cleburne, TX 76033
Phone (817) 484-2020

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

6551 Harris Pkwy
Ste 270
Fort Worth, TX 76132
Phone (817) 378-4777

1102 S Friendswood Dr
Ste A
Friendswood, TX 77546
Phone (281) 482-0066

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

1316 E US Highway 377
Granbury, TX 76048
Phone (682) 498-8750

2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020

670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466

Organizations & group practices 8

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": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1891051660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 EAST HWY 377",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482578",
            "telephone_number": "817-964-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 E HWY 377",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482578",
            "telephone_number": "817-964-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORALI",
        "first_name": "RAJAL",
        "middle_name": "GOSWAMI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7575TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.