Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306191978 Individual Practitioner Male Practitioner

Dr. Mirage Shah , OD

Optometrist • Dallas, TX

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Mirage Shah, OD is a registered healthcare professional specializing in Optometrist in Dallas, TX. Official NPI practice address is registered at 5201 HARRY HINES BLVD.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new patient complete exam of visual system, established patient problem focused exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5201 Harry Hines Blvd
Opthalmology Clinic

Dallas, TX 752357708

Telephone 2145905709
Associated Practice Facility / Clinic
🏢 Ambulatory Care Clinic (Acc) Facility NPI 1316914666

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.8 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
225 Specialists

Practicing in Dallas, TX (5156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
98 97 $275.00 $136.33
92004 New patient complete exam of visual system
68 68 $328.00 $164.26
92012 Established patient problem focused exam of visual system
58 54 $191.00 $98.57
92002 New patient problem focused exam of visual system
25 25 $182.00 $94.27
92083 Exam of visual field with extended testing
17 17 $225.00 $68.12
92133 Imaging of optic nerve
14 14 $350.00 $37.32

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MD TA2615

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License TX 8314-TG

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License PA OEG002675

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Texas Optometry Board
8314 (TX)
Commercial Insurance / Payer ID Optometry License Number
OEG002675 (PA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Bradford Commons , MD

Emergency Medicine

NPI 1003015157

Doctor of Medicine (M.D.)

Dr. Lynn Nguyen , MD

Student in an Organized Health Care Education/Training Program

NPI 1003025131

Doctor of Medicine (M.D.)

Miranda Crowder , NNP

Nurse Practitioner - Neonatal

NPI 1003221086
Dr. Jan Petrasek , MD, PhD

Internal Medicine - Gastroenterology

NPI 1003251497

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Glenda Patredis , CPNP

Nurse Practitioner - Pediatrics

NPI 1003898529

Certified Pediatric Nurse Practitioner

Lonna Seger , CWHNP

Nurse Practitioner - Women's Health

NPI 1013083161

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location May 13, 2019

Registered at 5201 HARRY HINES BLVD, OPTHALMOLOGY CLINIC, DALLAS, TX 752357708 (Tel: 2145905709)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2019

Optometrist (License #8314-TG in TX)

📍
Updated Practice Location July 24, 2018

Registered at 2002 MEDICAL PKWY STE 320, ANNAPOLIS, MD 214017901 (Tel: 4105718733)

📍
Updated Business Mailing Address July 24, 2018

Registered at 2002 MEDICAL PKWY STE 320, ANNAPOLIS, MD 214017901 (Tel: 4105718733)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2018

Optometrist (License #OEG002675 in PA)

NPI Profile Active August 19, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2014

Registered at 5201 HARRY HINES BLVD, OPTHALMOLOGY CLINIC, DALLAS, TX 752357708 (Tel: 2145905709)

📍
Updated Business Mailing Address August 19, 2014

Registered at PO BOX 660599, DALLAS, TX 752660599 (Tel: 2145905709)

👤
Provider Name / Credentials Updated August 19, 2014

Recorded as MIRAGE SHAH, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2014

Optometrist (License #8314-TG in TX)

🟢
Initial NPI Registration & Enumeration July 19, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306191978
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2012
Last Update: May 13, 2019
Sole Proprietor: No

Mailing Address

2002 Medical Pkwy Ste 320

Annapolis, MD 214017901

Phone: 4105718733

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.