Individual provider Active NPI

Shalini Devluk, O.D.

  • Optometrist
  • Pearland, TX
National Provider Identifier
1942432174
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7534TG Issued in TX
Practice address
3500 Business Center Dr
Pearland, TX 77584-1952
Phone
(281) 707-7016
Fax
(281) 707-7017
NPI assigned
Aug 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7534TG TX Primary

Addresses

Primary practice location

3500 Business Center Dr
Pearland, TX 77584-1952

Mailing address

3130 Grants Lake Blvd
Unit 19818
Sugar Land, TX 77496-0978
Phone (281) 707-7016

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
I20120918000457 TX Practitioner - Optometry 4284882127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3500 Business Ctr Dr
Pearland, TX 77584-1952
Phone (281) 707-7016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7534TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Eye Care PLLC Optometrist CurrentSince Nov 1, 2015 Accepting new patients

Locations

3500 Business Center Dr
Pearland, TX 77584
Phone (281) 707-7011

3130 Grants Lake Blvd
Unit 19818
Sugar Land, TX 77496

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1942432174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 GRANTS LAKE BLVD",
            "address_2": "UNIT 19818",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774960978",
            "telephone_number": "281-707-7016",
            "fax_number": "281-707-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BUSINESS CENTER DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841952",
            "telephone_number": "281-707-7016",
            "fax_number": "281-707-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVLUK",
        "first_name": "SHALINI",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-21",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7534TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.