| Dr Mirage Shah, OD | |
|
5201 Harry Hines Blvd, Opthalmology Clinic, Dallas, TX 75235-7708 | |
| (214) 590-5709 | |
| Not Available |
| Full Name | Dr Mirage Shah |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 5201 Harry Hines Blvd, Dallas, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306191978 | NPI | - | NPPES |
| 8314 | Other | TX | TEXAS OPTOMETRY BOARD |
| OEG002675 | Other | PA | OPTOMETRY LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 8314-TG (Texas) | Secondary |
| 152W00000X | Optometrist | OEG002675 (Pennsylvania) | Secondary |
| 152W00000X | Optometrist | TA2615 (Maryland) | Primary |
| Provider Name | Visionworks Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104847912 PECOS PAC ID: 4385639616 Enrollment ID: O20040423000298 |
| Provider Name | University Of Maryland Eye Associates |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285655829 PECOS PAC ID: 7719948835 Enrollment ID: O20041022000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mirage Shah, OD 2002 Medical Pkwy Ste 320, Annapolis, MD 21401-7901 Ph: (410) 571-8733 | Dr Mirage Shah, OD 5201 Harry Hines Blvd, Opthalmology Clinic, Dallas, TX 75235-7708 Ph: (214) 590-5709 |
Elevate Eye Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 200 Short Blvd, Dallas, TX 75232 Phone: 504-319-9017 | |
Envision Dallas Optometrist Medicare: Medicare Enrolled Practice Location: 4306 Capitol Ave, Dallas, TX 75204 Phone: 214-420-6552 Fax: 214-823-6339 | |
Lynette Hyland Braun, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 462 Northpark Center, Dallas, TX 75225 Phone: 214-368-0059 | |
Dr. Rachel Varghese, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8687 N Central Expy Ste 2200, Dallas, TX 75225 Phone: 000-000-0000 | |
Thomas Allen Sakler, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7111marvan D Love Frwy, Ste 101, Dallas, TX 75201 Phone: 972-298-5379 Fax: 972-283-5863 | |
Envision 20-20 Association Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1521 Cockrell Hill Rd, Dallas, TX 75211 Phone: 214-337-0530 | |
Dr. John Francis Haarde Ii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5494 Glen Lakes Dr, Dallas, TX 75231 Phone: 214-692-6220 Fax: 214-696-1579 |