Individual provider Active NPI

Amit Shah, O.D.

  • Optometrist
  • Katy, TX
National Provider Identifier
1962452409
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
06256TG Issued in TX
Practice address
24441 Katy Fwy
Suite 300
Katy, TX 77494-1376
Phone
(281) 392-4010
Fax
(281) 715-5888
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 06256TG TX Primary

Addresses

Primary practice location

24441 Katy Fwy
Suite 300
Katy, TX 77494-1376

Mailing address

24441 Katy Fwy
Suite 300
Katy, TX 77494-1376
Phone (281) 392-4010

Other identifiers 1

IdentifierTypeStateIssuer
347918ZCLWOtherTXMEDICARE PTAN

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
I20040825000763 TX Practitioner - Optometry 1456325307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Amit Shah and AssociatesGroup PAC ID 1052453198, 2 clinicians

Practice addresses (Care Compare)

25116 Market Place Dr
Suite 100
Katy, TX 77494-8807
Phone (281) 392-4010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06256TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist PastSince Apr 28, 2024 Accepting new patients
Larry Tarrant O.D. Optometrist Past Accepting new patients
Oculusdoc LLC Optometrist PastSince Oct 13, 2024 Accepting new patients
20-20 Sight, PA Optometrist PastSince Aug 10, 1999 Accepting new patients
20/20 Icare and Iwear, PLLC Optometrist PastSince Mar 8, 2018 Accepting new patients

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1962452409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24441 KATY FWY",
            "address_2": "SUITE 300",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941376",
            "telephone_number": "281-392-4010",
            "fax_number": "281-715-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24441 KATY FWY",
            "address_2": "SUITE 300",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941376",
            "telephone_number": "281-392-4010",
            "fax_number": "281-715-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AMIT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06256TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "347918ZCLW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.