Individual provider Active NPI

Ruchita Shah, O.D.

  • Optometrist
  • Pineville, NC
National Provider Identifier
1992157432
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2610 Issued in NC
Practice address
10860 Park Rd St 105
Pineville, NC 28134
Phone
(980) 237-9704
NPI assigned
Jul 8, 2016
Last updated
Feb 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8997TG TX
Optometrist 152W00000X 2610 NC Primary

Addresses

Primary practice location

10860 Park Rd St 105
Pineville, NC 28134

Mailing address

9707 Briarwick LN
Charlotte, NC 28277-0795
Phone (512) 351-5648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220816003478 NC Practitioner - Optometry 0345536843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accuvision Eye Care OD, PAGroup PAC ID 6406996875, 14 clinicians

Practice addresses (Care Compare)

10860 Park Rd
Suite 105
Pineville, NC 28134-7495
Phone (980) 237-9704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8997TGTXMDOptometrist
2610NCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Accuvision Eye Care OD, PA Optometrist CurrentSince Apr 23, 2022 Accepting new patients

Locations

3916 E Franklin Blvd
Ste 160
Gastonia, NC 28056
Phone (704) 565-0660

10860 Park Rd
Ste 105
Pineville, NC 28134
Phone (980) 237-9704

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1992157432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 BRIARWICK LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770795",
            "telephone_number": "512-351-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10860 PARK RD ST 105",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "28134",
            "telephone_number": "980-237-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RUCHITA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8997TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, NC

Sources for this page

Verify at the official NPI Registry.