Farid Elie Khoury, O.D

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

NM536 Issued in NM

Practice address

1500 S 2ND St Ste 5
Gallup, NM 87301-5898

Phone

(505) 979-0894

Fax

(505) 726-2871

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pro Vision Optical

  • Eyewear Supplier
  • Gallup, NM
  • NPI 1295259554
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1003999301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 MOUNTAIN VIEW DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015644",
            "telephone_number": "505-979-0894",
            "fax_number": "505-726-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S 2ND ST STE 5",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015898",
            "telephone_number": "505-979-0894",
            "fax_number": "505-726-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "FARID",
        "middle_name": "ELIE",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "NM536",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NM",
            "license": "NM536",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NM",
            "license": "NM536",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NM",
            "license": "NM536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "44840",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52032019",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "25676",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dale E Kester, M.D.
• Elizabeth Ann Ketner, M.H.S., MD
• Chelsea Linn Kettering, BA
• David Ali Khan
• Sher Ali Khan, M.D
• SE Duck Kim, MD
• Lori J Kimmel, RN
• Anthony King
• Jeannie King, RN
• Lavada King, RN

• Vision Therapy Optometrist in Gallup, NM
• Providers in Gallup, NM by specialty
• Vision Therapy Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.