Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shane Lucas Tibiletti, OD

Individual provider Optometrist · NPI 1639721392

Dr. Shane Lucas Tibiletti, OD is an Optometry in Hurst, Texas. Graduated from University of Houston - College of Optometry in 2019, 7 years ago. Practices with Aeg Texas Professional PLLC, a 228-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Trained at
University of Houston - College of Optometry
Licensed in
TX
In the registry since
2019
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1101 Melbourne Rd # 217
Hurst, TX 76053-6205
Phone: (817) 284-0798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2301 Porter Creek Dr # 217, Fort Worth, TX 76177-2336 — (817) 847-7747

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 9738T (TX)

Record details

NPI number1639721392
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 12, 2019
Last updated in NPPESJuly 13, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Graduated 2019 (7 years in practice)
Group practice Aeg Texas Professional Pllc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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