Individual provider Active NPI

Shivani Patel, OD

  • Optometrist
  • Coppell, TX
National Provider Identifier
1891338984
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9726T Issued in TX
Practice address
220 S Denton Tap Rd Ste 204
Coppell, TX 75019-5039
Phone
(518) 312-6923
NPI assigned
Oct 22, 2019
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 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 9726T TX Primary

Addresses

Primary practice location

220 S Denton Tap Rd Ste 204
Coppell, TX 75019-5039

Mailing address

220 S Denton Tap Rd Ste 204
Coppell, TX 75019-5039
Phone (518) 312-6923

Other practice location 1

2930 S 1st St
Garland, TX 75041-3444
Phone (972) 278-0154

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
I20201116000091 TX Practitioner - Optometry 5294145686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Vision Associates PLLCGroup PAC ID 7618199027, 6 clinicians

Practice addresses (Care Compare)

220 S Denton Tap Rd
Suite 204
Coppell, TX 75019-5039
Phone (972) 745-8760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9726TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Vision Associates PLLC Optometrist CurrentSince Oct 22, 2020 Accepting new patients
Clear Vision Associates PLLC Optometrist CurrentSince Oct 22, 2020 Accepting new patients

Locations

220 S Denton Tap Rd
Ste 204
Coppell, TX 75019
Phone (518) 312-6923

200 Gerault Rd
Ste 110
Flower Mound, TX 75028
Phone (972) 646-2024

4897 State Highway 121
Ste 260
The Colony, TX 75056
Phone (469) 968-9852

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1891338984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S DENTON TAP RD STE 204",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195039",
            "telephone_number": "518-312-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S DENTON TAP RD STE 204",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195039",
            "telephone_number": "518-312-6923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2930 S 1st St",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750413444",
            "country_code": "US",
            "telephone_number": "972-278-0154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIVANI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9726T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.