Healthcare Provider Details

I. General information

NPI: 1174411359
Provider Name (Legal Business Name): SHREYA KETAN PAREKH OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 HIGHLAND AVE
CINCINNATI OH
45219-2463
US

IV. Provider business mailing address

2324 MADISON RD APT 710
CINCINNATI OH
45208-2678
US

V. Phone/Fax

Practice location:
  • Phone: 513-559-3599
  • Fax:
Mailing address:
  • Phone: 813-720-8715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT.007472
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: