MANISH SHAH (O.D.) – Optometrist, NPI 1255483657

MANISH SHAH (O.D.) is a healthcare provider. based in East boston, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4322 (MA). The NPI Number for MANISH SHAH (O.D.) is 1255483657

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MANISH SHAH (O.D.)
NPI
1255483657
Phone
(617) 568-5800
Address
10 GOVE ST
Enumeration Date
17 January 2007
Last Update Date
12 June 2020

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
6177381111
Graduation Year
2002 (24 years ago)
PAC ID
2668449364
Professional Enrollment ID
I20040913000874
Address ID
MA021155745BO342XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

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Provider Addresses for MANISH SHAH (O.D.)

  • East Boston Neighborhood Health Center, 10, Gove Street, East Boston, Boston, Suffolk County, Massachusetts, 02152, United States

    EAST BOSTON, MA 021281920

    Phone: (617) 568-5800

    Fax: (617) 568-4756

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $274.

Total Amount is formed as General ($274) + Research ($0) + Ownership ($0) = $274.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($138).

Total Amount

$274

General + Research + Ownership

Payments

3

Total payment records

General Amount

$274

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040913000874IOptometryMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92004New patient complete exam of visual system1414$0
View full utilization report →

Insurance plans in this area (ZIP 02128)

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Reviews

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Frequently asked questions

Is MANISH SHAH (O.D.) listed with a National Provider Identifier?
Yes — MANISH SHAH (O.D.) has NPI 1255483657 on file in the registry.
Is there an active status for MANISH SHAH (O.D.)?
For scheduling context, MANISH SHAH (O.D.) is shown as active in the registry.
How would a patient describe MANISH SHAH (O.D.)'s focus?
For MANISH SHAH (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is MANISH SHAH (O.D.) registered?
Use East Boston, Massachusetts as the headline location for MANISH SHAH (O.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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