Anisah Prueitt Shahidzadeh, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6620TG Issued in TX

Practice address

8380 Warren Pkwy Ste 605
Frisco, TX 75034-4253

Phone

(972) 668-3131

Fax

(972) 668-3196

NPI assigned

Apr 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eyeq Vision PLLC

  • Optometrist
  • Frisco, TX
  • NPI 1427347442
  Medicare reassignment NPD Authorized official
• Northline Tso PC

  • Optometrist
  • Houston, TX
  • NPI 1134198518
  NPD (past)
• Willowbrook Tso PC

  • Optometrist
  • Houston, TX
  • NPI 1073582466
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1922060706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4543 LINDENWOOD DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750342623",
            "telephone_number": "214-794-9080",
            "fax_number": "940-497-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 WARREN PKWY STE 605",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344253",
            "telephone_number": "972-668-3131",
            "fax_number": "972-668-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHIDZADEH",
        "first_name": "ANISAH",
        "middle_name": "PRUEITT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "6620TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6620TG",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "6620TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarju Shah
• Vaishali Shah
• Zille Huma Shah, MD
• Hassan Shahabinejad
• Mahnaz Shahbazi, M.S.
• Ana Shaikh
• Mohamed Ashfaq Shajahan
• Rubina Shakil, MD
• Batul Shakir Nek
• Amir Shakouri, PHARMD

• Optometrist in Frisco, TX
• Providers in Frisco, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.

Verify at the official NPI Registry.