| Shah Eye Center, P.a. | |
|
1506 E Griffin Pkwy, Mission, TX 78572-2424 | |
| (956) 583-0202 | |
| (956) 583-0200 |
| Full Name | Shah Eye Center, P.a. |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 1506 E Griffin Pkwy, Mission, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639114291 | NPI | - | NPPES |
| 080899003 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Pankajkumar G Shah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518959758 PECOS PAC ID: 0244226140 Enrollment ID: I20040424000426 |
| Provider Name | Malvin Driver |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609800127 PECOS PAC ID: 0446221634 Enrollment ID: I20040802001544 |
| Provider Name | Salvador Alcantar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578509287 PECOS PAC ID: 3870527435 Enrollment ID: I20050922000801 |
| Provider Name | Mae E Wesson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184798019 PECOS PAC ID: 9133128101 Enrollment ID: I20061220000553 |
| Provider Name | Charles R Norman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568501716 PECOS PAC ID: 8820073406 Enrollment ID: I20090424000055 |
| Provider Name | Jonathan Leroy Gandy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790126373 PECOS PAC ID: 6305080300 Enrollment ID: I20130912000648 |
| Provider Name | Jihad Samir Isteitiya |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104203074 PECOS PAC ID: 2769744374 Enrollment ID: I20180320000316 |
| Provider Name | Bonnie M Wessler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861912461 PECOS PAC ID: 5890068621 Enrollment ID: I20180621002122 |
| Provider Name | Hosam Attia |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790955094 PECOS PAC ID: 4183762933 Enrollment ID: I20200805001800 |
| Provider Name | Purvi Gala |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174605257 PECOS PAC ID: 6103887682 Enrollment ID: I20200921001800 |
| Provider Name | Carlos Eduardo Pessoa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114377173 PECOS PAC ID: 3678853140 Enrollment ID: I20210507001436 |
| Provider Name | Arturo Alejandro Sanchez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932870383 PECOS PAC ID: 9335547272 Enrollment ID: I20211007001698 |
| Provider Name | Brianna Lee Sooy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013688472 PECOS PAC ID: 6901204841 Enrollment ID: I20211007002053 |
| Mailing Address | Practice Location Address |
|---|---|
| Shah Eye Center, P.a. 1506 E Griffin Pkwy, Mission, TX 78572-2424 Ph: (956) 583-0202 | Shah Eye Center, P.a. 1506 E Griffin Pkwy, Mission, TX 78572-2424 Ph: (956) 583-0202 |