MISS DIVYA JITENDRA MISTRY OD
NPI 1477489995
Optometrist in Dallas, TX

Q: What is Divya Mistry's NPI number?

The NPI number for Divya Mistry is 1477489995. It was assigned to this individual provider in the NPPES registry on June 22, 2026.

Q: What is Divya Mistry's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Divya Mistry was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 22, 2026PECOS Enrolled

2525 LUCAS DR, DALLAS, TX 75219(214) 528-7354 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Miss Divya Jitendra Mistry Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS DIVYA JITENDRA MISTRY OD (NPI 1477489995) is an individual optometrist in Dallas, Texas, licensed in Texas (11675TG) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2026).

NPPES Registry Identity

NPI1477489995

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameMISS DIVYA JITENDRA MISTRYCredential: OD

Location Address2525 LUCAS DRDallas, TX 75219-1804

Mailing Address4401 Martin Luther King BlvdHouston, TX 77204-2020 · (713) 743-1921 · Fax (713) 743-0963

Phone(214) 528-7354

Sole ProprietorYes

Medical School CMSSouthern College Of OptometryGraduated 2026

Enumeration DateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1477489995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 11675TG

Definition

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.

2525 LUCAS DR, Dallas, TX 75219

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Other Identifiers 1

Other11675TGTX · Optometry License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Divya Jitendra Mistry Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860966306

PECOS Enrollment IDI20260706002782

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Divya Mistry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Houston System

Same address

Optometrist

2525 LUCAS DR, BUILDING 3
Dallas, TX 75219

Reassigned Medicare billing, Texas enrollment
75 clinicians in this Medicare group

NPI 1174660260 (214) 528-7354

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAOLA ROSARIO DIAZ OD

Optometrist

2525 LUCAS DR
DALLAS, TX 75219

Dallas County (214) 528-7948

UNIVERSITY OF HOUSTON SYSTEM

Optometrist

2525 LUCAS DR, BUILDING 3
DALLAS, TX 75219

Dallas County (214) 528-7354

SHABISTAN NAUSHA ASRAR OD

Optometrist

2525 LUCAS DR
DALLAS, TX 75219

Dallas County (214) 528-1354

ZANNA S KRUOCH OD

Optometrist

2525 LUCAS DR
DALLAS, TX 75219

Dallas County (214) 528-7354

KATHERINE TUONG OANH TRAN OD

Optometrist

2525 LUCAS DR
DALLAS, TX 75219

Dallas County (214) 528-7354

BATOOL FATIMA KAZIMI OD

Optometrist

2525 LUCAS DR
DALLAS, TX 75219

Dallas County (214) 528-1354

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divya Mistry's NPI number?

The NPI number for Divya Mistry is 1477489995. It was assigned to this individual provider in the NPPES registry on June 22, 2026.

Where is Divya Mistry located?

Divya Mistry practices at 2525 Lucas Dr, Dallas, TX 75219. The listed phone number is (214) 528-7354.

What is Divya Mistry's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Divya Mistry enrolled in Medicare?

Yes. Divya Mistry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Divya Mistry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Divya Mistry reassigns Medicare benefits to University Of Houston System (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Divya Mistry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Divya Mistry accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Divya Mistry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Divya Mistry was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.