Individual provider Active NPI

Mary Shatleh, O.D.

  • Optometrist
  • Pearland, TX
National Provider Identifier
1922354307
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7976TG Issued in TX
Practice address
2006 N Main St
Pearland, TX 77581-3308
Phone
(281) 485-5591
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7976TG TX Primary

Addresses

Primary practice location

2006 N Main St
Pearland, TX 77581-3308

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20131031001450 TX Practitioner - Optometry 3072748995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

2006 N Main St
Pearland, TX 77581-3308
Phone (281) 485-5591

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7976TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Mar 17, 2025 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Mar 17, 2025 Accepting new patients
Shatleh Optometry, PLLC Optometrist CurrentSince Oct 29, 2024 Accepting new patients
Cline Eye Center Inc Optometrist PastSince Oct 8, 2020 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

11645 Angus Rd
Ste 5
Austin, TX 78759
Phone (512) 345-5641

6725 Delaware St
Beaumont, TX 77706
Phone (409) 832-9151

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

5224 S State Highway 360
Ste 200
Grand Prairie, TX 75052
Phone (972) 602-4545

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

3032 N Eastman Rd
Ste 100
Longview, TX 75605
Phone (903) 663-2020

19804 Morris Ave
Ste 120
Manvel, TX 77578
Phone (346) 338-4544

2006 N Main St
Pearland, TX 77581
Phone (281) 485-5591

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1922354307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 N MAIN ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775813308",
            "telephone_number": "281-485-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATLEH",
        "first_name": "MARY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7976TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.