MEDICARE: DR. MOHINDER MERCHEA OD, PHD, MBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	10722	TX

General Provider Information

NPI Number	:	1356219414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHINDER MERCHEA OD, PHD, MBA

Provider Business Mailing Address
First Line	:	6201 SOUTH FWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76134-2001
Country	:	US
Telephone Number	:	817-615-5066
Fax Number	:

Provider Business Practice Location Address
First Line	:	6201 SOUTH FWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76134-2099
Country	:	US
Telephone Number	:	817-615-5066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2025
Last Update Date	:	10/29/2025

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