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Active NPI 1477489995 Individual Practitioner Female Practitioner

Dr. Divya Jitendra Mistry , OD

Optometrist • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Dr. Divya Mistry, OD is a registered healthcare professional specializing in Optometrist in Dallas, TX. Practice services are available at 2525 LUCAS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2525 Lucas Dr

Dallas, TX 752191804

Telephone 2145287354
Associated Practice Facility / Clinic
🏢 University Of Houston System Facility NPI 1174660260

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
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-22
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 11675TG

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 Optometry License
11675TG (TX)

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1629208038

Doctor of Optometry

NPI 1912899618

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 22, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2026

Registered at 2525 LUCAS DR, DALLAS, TX 752191804 (Tel: 2145287354)

📍
Updated Business Mailing Address June 22, 2026

Registered at 4401 MARTIN LUTHER KING BLVD, HOUSTON, TX 772042020 (Tel: 7137431921)

👤
Provider Name / Credentials Updated June 22, 2026

Recorded as DIVYA MISTRY, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2026

Optometrist (License #11675TG in TX)

🟢
Initial NPI Registration & Enumeration June 22, 2026

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: 1477489995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2026
Last Update: June 22, 2026
Sole Proprietor: Yes

Mailing Address

4401 Martin Luther King Blvd

Houston, TX 772042020

Phone: 7137431921

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.