Angela Khakshooy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13893 Issued in CA

Practice address

61 E Lake Mead Pkwy
Henderson, NV 89015-5531

Phone

(702) 565-7579

NPI assigned

Jan 11, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Gammoh Premier Vision LLCGroup PAC ID 4880849843, 4 clinicians

Dadej and Ohriner LTDGroup PAC ID 3476630369, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dadej & Ohriner, LTD

  • Optometrist
  • Las Vegas, NV
  • NPI 1295928463
  Medicare reassignment Care Compare group NPD
• Gammoh Premier Vision LLC

  • Optometrist
  • Las Vegas, NV
  • NPI 1528304458
  Medicare reassignment Care Compare group NPD
• Dadej & Ohriner, LTD

  • Optometrist
  • Henderson, NV
  • NPI 1598427692
  NPD
• Erika Duggan

  • Optometrist
  • Henderson, NV
  • NPI 1194760454
  NPD (past)
• Eye Doc Group LLC

  • Optician
  • Las Vegas, NV
  • NPI 1750042396
  NPD (past)
• Dpmotikonrca LLC

  • Podiatrist
  • Bishop, CA
  • NPI 1285952150
  NPD (past)
• Dr Hernandez Optometry Inc

  • Optometrist
  • Huntington Park, CA
  • NPI 1164604658
  NPD (past)
• Spectrum Eyecare Optometry Inc

  • Optometrist
  • San Dimas, CA
  • NPI 1801949573
  NPD (past)

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1013247212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 E LAKE MEAD PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155531",
            "telephone_number": "702-565-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E LAKE MEAD PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155531",
            "telephone_number": "702-565-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAKSHOOY",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-11",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "13893",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "13893",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "13893",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CA",
            "license": "13893",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna Key
• Vincent Keyes
• Latasha Keys
• Lanae Marie Keyser, BSN, RN
• Allen Khakshooy, MD
• Khakwani Medical Corporation, PC
• Khakwani Medical Corporation, PC
• Khakwani Medical Corporation, PC
• Fada Khal
• Imran Salahuddin Khalek, MD

• Optometrist in Henderson, NV
• Providers in Henderson, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.