Individual provider Active NPI

Dhara Shailesh Shah, O.D

  • Optometrist
  • Staunton, VA
National Provider Identifier
1972056703
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002645 Issued in VA
Practice address
1412 N Augusta St
Staunton, VA 24401-2401
Phone
(540) 885-0006
Fax
(540) 885-5276
NPI assigned
Jul 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2543 MD
Optometrist 152W00000X 0618002645 VA Primary

Addresses

Primary practice location

1412 N Augusta St
Staunton, VA 24401-2401

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, PA, MA, VT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20181220000200 VA Practitioner - Optometry 0941568521 Reassigns benefits to 1 organization
I20240709002299 PA Practitioner - Optometry 0941568521 Reassigns benefits to 1 organization
I20241028002904 MA Practitioner - Optometry 0941568521 Reassigns benefits to 1 organization
I20250424002352 VT Practitioner - Optometry 0941568521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Vermont LLCGroup PAC ID 4486912607, 12 clinicians
Myeyedr Optometry of Pennsylvania LLCGroup PAC ID 3971884883, 118 clinicians
Myeyedr Optometry of Massachusetts P CGroup PAC ID 1951661297, 57 clinicians
Myeyedr Optometry of Virginia, PLLCGroup PAC ID 0143448456, 133 clinicians

Practice addresses (Care Compare)

10 Palmer Rd
Stowe, VT 05672-5764
Phone (802) 253-6322

125 S Antrim Way
Greencastle, PA 17225-1521
Phone (717) 597-4780

1304 Baltimore St
Hanover, PA 17331-4407
Phone (717) 632-8600

2155 White St
York, PA 17404-4900
Phone (717) 848-4654

22 University Dr
Amherst, MA 01002-2243
Phone (413) 549-9400

319 York Rd
Carlisle, PA 17013-3160
Phone (717) 258-4422

441 Westfield Rd
Charlottesville, VA 22901-1643
Phone (434) 973-5361

489 Bernardston Rd
Greenfield, MA 01301-1238
Phone (413) 772-2571

5399 Williston Rd
Suite 102
Williston, VT 05495-5321
Phone (802) 864-5428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2543MDMDOptometrist
0618002645VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Oct 13, 2018 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Jun 14, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Oct 13, 2018 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Oct 2, 2024 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Oct 2, 2024 Accepting new patients
Myeyedr Optometry of Vermont LLC Optometrist CurrentSince Apr 7, 2025 Accepting new patients
Myeyedr Optometry of Vermont LLC Optometrist CurrentSince Apr 7, 2025 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist Current Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Jun 14, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Past Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients

Locations (25 of 30)

145 Wakelee Ave
Ansonia, CT 06401
Phone (203) 734-1686

2165 Dixwell Ave
Hamden, CT 06514
Phone (203) 248-2727

22 University Dr
Amherst, MA 01002
Phone (413) 549-9400

426 N Main St
East Longmeadow, MA 01028
Phone (413) 525-3010

489 Bernardston Rd
Greenfield, MA 01301
Phone (413) 772-2571

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

2842 S Eagle Rd
Newtown, PA 18940
Phone (215) 579-1155

49 S 2nd St
Oxford, PA 19363
Phone (610) 932-9356

923 Paoli Pike
West Chester, PA 19380
Phone (610) 692-8300

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

5765 Burke Centre Pkwy
Ste L
Burke, VA 22015
Phone (703) 250-2000

441 Westfield Rd
Charlottesvle, VA 22901
Phone (434) 973-5361

869 John Marshall Hwy
#C
Front Royal, VA 22630
Phone (540) 635-3223

2040 Coliseum Dr
Ste 33
Hampton, VA 23666
Phone (757) 827-6530

1870 Reservoir St
Harrisonburg, VA 22801
Phone (540) 434-6622

1663 Virginia Ave
Ste 110
Harrisonburg, VA 22802
Phone (540) 442-7742

709 Pine St
Herndon, VA 20170
Phone (703) 471-7810

129 E Ferrell St
South Hill, VA 23970
Phone (434) 447-3220

1515 Stafford Market Pl
Ste 121
Stafford, VA 22556
Phone (540) 657-2020

1412 N Augusta St
Staunton, VA 24401
Phone (540) 885-0006

42015 Village Center Plz
Ste 103
Stone Ridge, VA 20105
Phone (703) 542-8888

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

2028 S Pleasant Valley Rd
Winchester, VA 22601
Phone (540) 722-3217

3051 Valley Ave
Ste 102
Winchester, VA 22601
Phone (540) 450-8504

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1972056703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 N AUGUSTA ST",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244012401",
            "telephone_number": "540-885-0006",
            "fax_number": "540-885-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DHARA",
        "middle_name": "SHAILESH",
        "name_prefix": "Ms.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2543",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

Verify at the official NPI Registry.