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DR. ALISHA POONAWALA O.D.
NPI 1649719212
Optometrist in Fort Worth, TX

Active since February 16, 2017PECOS EnrolledAccepts Medicare Assignment
1217 OAK KNOLL DR, FORT WORTH, TX 76117(817) 932-2498 Get Directions Write a Review

NPPES record last updated: November 18, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2017, Feb 16, 2017 (2 updates tracked since 2017).

About Dr. Alisha Poonawala O.d. NPPES

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

DR. ALISHA POONAWALA O.D. (NPI 1649719212) is an individual optometrist in Fort Worth, Texas, licensed in Texas (9206TG) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1649719212
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ALISHA POONAWALACredential: O.D.
Location Address1217 OAK KNOLL DRFort Worth, TX 76117-5505
Mailing Address1342 Woodbrook CtSouthlake, TX 76092-4835 · (817) 932-2498
Phone(817) 932-2498
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 16, 2017
Last NPPES UpdateNovember 18, 20172 updates tracked since enumeration
✔ NPI 1649719212 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 · 9206TG
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.
1217 OAK KNOLL DR, Fort Worth, TX 76117
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alisha Poonawala O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911270863
PECOS Enrollment IDI20170829001882
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76117 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 3

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

PACK OPTICAL
Optometrist
1217 OAK KNOLL DR
FORT WORTH, TX 76117
Tarrant County (817) 831-6141
VISIONARY EYECARE CENTER LLC
Optometrist
1217 OAK KNOLL DR
FORT WORTH, TX 76117
Tarrant County (817) 932-2498
DR. LEONARD R. PACK O.D.
Optometrist
1217 OAK KNOLL DR
FORT WORTH, TX 76117
Tarrant County (817) 831-6141

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 Alisha Poonawala's NPI number?

The NPI number for Alisha Poonawala is 1649719212. It was assigned to this individual provider in the NPPES registry on February 16, 2017.

Where is Alisha Poonawala located?

Alisha Poonawala practices at 1217 Oak Knoll Dr, Fort Worth, TX 76117. The listed phone number is (817) 932-2498.

What is Alisha Poonawala's specialty?

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

Is Alisha Poonawala enrolled in Medicare?

Yes. Alisha Poonawala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alisha Poonawala accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Alisha Poonawala 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 Alisha Poonawala was last updated on November 18, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.