Active NPI
Mumtaz Pyarali Tejani, O.D.
- Optometrist
- Royse City, TX
National Provider Identifier
1912018425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6622TG
- Practice address
- 494 W Interstate 30
Royse City, TX 75189-7527 - Phone
- (972) 635-2520
- NPI assigned
- Aug 31, 2006
- Last updated
- Dec 10, 2024
- 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 | 6622TG | TX | Primary |
Addresses
Primary practice location
494 W Interstate 30
Royse City, TX 75189-7527
Mailing address
831 Cedarbluff Dr
Rockwall, TX 75087-6545
Phone (972) 896-9788
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 |
|---|---|---|---|---|
| I20041103001102 | TX | Practitioner - Optometry | 0042272783 | Practice locations: Royse City, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
494 I 30
Royse City, TX 75189-7527
Phone (972) 635-2520
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda Fain Hatton OD, PA | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1912018425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 CEDARBLUFF DR",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750876545",
"telephone_number": "972-896-9788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "494 W INTERSTATE 30",
"city": "ROYSE CITY",
"state": "TX",
"postal_code": "751897527",
"telephone_number": "972-635-2520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEJANI",
"first_name": "MUMTAZ",
"middle_name": "PYARALI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6622TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royse City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.