DR. ALISHA POONAWALA (NPI# 1649719212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649719212 |
| Entity Type | Individual |
| Full Name | DR. ALISHA POONAWALA |
| Credential | O.D. |
| Practice Address |
1217 Oak Knoll Dr Fort Worth TX 76117-5505 |
| Mailing Address |
1342 Woodbrook Ct Southlake TX 76092-4835 |
| Practice Telephone | 8179322498 |
| Mailing Telephone | 8179322498 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 9206TG | TX | Eye and Vision Services Providers |
| Street Address |
1217 OAK KNOLL DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76117-5505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568573574 | Leonard R. Pack | Optometrist | 1217 Oak Knoll Dr, Fort Worth, TX 76117-5505 | 2006-08-31 |
| 1326552985 | Visionary Eyecare Center LLC | Optometrist | 1217 Oak Knoll Dr, Fort Worth, TX 76117-5505 | 2017-11-18 |
| 1154506822 | Pack Optical | Optometrist | 1217 Oak Knoll Dr, Fort Worth, TX 76117-5505 | 2007-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467943209 | Texas Fmsa Inc | Hospice Care, Community Based | 2504 Minnis Drive, Haltom City, TX 76117 | 2018-05-29 |
| 1427433747 | Ben Van Nguyen | Dentist | 3101 Denton Hwy Suite #100, Haltom City, TX 76117 | 2015-07-28 |
| 1326273210 | Tiana Hoang Thy Pham | Dentist | 3101 Denton Hwy #100, Haltom City, TX 76117 | 2009-05-20 |
| 1396965133 | Wayne Winfred Peavy | Dentist | 2902 Denton Highway, Haltom City, TX 76117 | 2007-04-26 |
| 1053322602 | Jen-rx Inc | Pharmacy | 3183 Denton Hwy, Haltom City, TX 76117 | 2006-08-10 |
| 1154325132 | Suchita Reddy | Family Medicine | 2919 Markum Dr, Fort Worth, TX 76117 | 2005-06-08 |
| 1164899357 | Claudia Elaine Jennings | Occupational Therapy Assistant | 3145 Denton Hwy, Haltom City, TX 76117 | 2015-08-24 |
| 1467885590 | Brianda Hernandez | Dentist | 3101 Denton Hwy, 100, Haltom City, TX 76117 | 2013-08-13 |
| 1396992772 | Meghan K Ruelas | Speech-Language Pathologist | 3145 Denton Hwy, Haltom City, TX 76117 | 2008-08-27 |
| 1285652586 | Rajneesh D Reddy | Family Medicine | 2919 Markum Drive, Ft. Worth, TX 76117 | 2006-07-17 |
| Find all providers in zip 76117 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805645 | Mary Kathryn Walters | Optometrist | 655 Taylor Street, Fort Worth, TX 76102-4821 | 2020-09-09 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1275168403 | National Vision Inc | Optometrist | 5609 Sierra Springs Ln, Fort Worth, TX 76123-2183 | 2020-03-09 |
| 1659933125 | Robert Xiang Li | Optometrist | 3524 Highway 114 Ste 300, Fort Worth, TX 76177-2197 | 2019-07-03 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1144782889 | Daniel Max & Marcandrea LLC | Optometrist | 8901 N. Freeway Service Rd E, Ste 105, Fort Worth, TX 76177 | 2019-04-02 |
| 1053879569 | Daniel Max & Marcandrea LLC | Optometrist | 501 Alta Mere Dr Ste 1021, Fort Worth, TX 76114-4014 | 2019-03-05 |
| 1083179600 | Joseph Khang Vu | Optometrist | 4800 S Hulen St Ste 147, Fort Worth, TX 76132-1415 | 2019-02-07 |
| 1477030567 | Brandon Ronald Lee | Optometrist | 2644 E Berry St., Fort Worth, TX 76105 | 2018-07-23 |
| 1932685682 | Jennifer Marie Wiernas | Optometrist | 6333 Camp Bowie Blvd Ste 272, Fort Worth, TX 76116-5444 | 2018-07-16 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76117 |
Please comment or provide details below to improve the information on DR. ALISHA POONAWALA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.