DR. ANISAH PRUEITT SHAHIDZADEH (O.D.) – Optometrist, NPI 1922060706

DR. ANISAH PRUEITT SHAHIDZADEH (O.D.) is a healthcare provider. based in Frisco, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 6620TG (TX). The NPI Number for DR. ANISAH PRUEITT SHAHIDZADEH (O.D.) is 1922060706

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANISAH PRUEITT SHAHIDZADEH (O.D.)
NPI
1922060706
Phone
(972) 668-3131
Address
8380 WARREN PKWY STE 605
Enumeration Date
5 April 2006
Last Update Date
18 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
9726683131
Graduation Year
2004 (22 years ago)
PAC ID
0547211104
Professional Enrollment ID
I20050201000908
Address ID
TX750344253FR8380XPKWY306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

Provider Addresses for DR. ANISAH PRUEITT SHAHIDZADEH (O.D.)

  • 8380 WARREN PKWY STE 605

    FRISCO, TX 750344253

    Phone: (972) 668-3131

    Fax: (972) 668-3196

    Type: Location

  • 4543, Lindenwood Drive, Lakeside at Lone Star Ranch, Frisco, Denton County, Texas, 75036, United States

    FRISCO, TX 750342623

    Phone: (214) 794-9080

    Fax: (940) 497-4981

    Type: Mailing

  • 3901, Swisher Road, Corinth, Denton County, Texas, 76210, United States

    CORINTH, TX 762104250

    Phone: (940) 497-4971

    Fax: (940) 497-4981

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $839.

Total Amount is formed as General ($839) + Research ($0) + Ownership ($0) = $839.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Lumenis BE inc ($735).

Total Amount

$839

General + Research + Ownership

Payments

7

Total payment records

General Amount

$839

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

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: 2005-02-01

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
I20050201000908IOptometryTXTBD

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
92014Established patient complete exam of visual system1414$0
92250Photography of the retina1313$0
View full utilization report →

Insurance plans in this area (ZIP 75034)

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Reviews

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Frequently asked questions

Is there an official ID for DR. ANISAH PRUEITT SHAHIDZADEH (O.D.) in U.S. healthcare records?
The official identifier for DR. ANISAH PRUEITT SHAHIDZADEH (O.D.) is NPI 1922060706.
Would DR. ANISAH PRUEITT SHAHIDZADEH (O.D.) appear as active to a payer?
You can treat DR. ANISAH PRUEITT SHAHIDZADEH (O.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. ANISAH PRUEITT SHAHIDZADEH (O.D.)?
DR. ANISAH PRUEITT SHAHIDZADEH (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. ANISAH PRUEITT SHAHIDZADEH (O.D.) associated with Frisco?
Public fields place DR. ANISAH PRUEITT SHAHIDZADEH (O.D.) around Frisco, Texas. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. ANISAH PRUEITT SHAHIDZADEH (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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