Individual provider Active NPI

Farid Mansoor Khan, MD

  • Retina Specialist (Ophthalmology) Physician
  • Hendersonville, NC
National Provider Identifier
1013448216
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
2023-03490 Issued in NC
Practice address
1701 Old Village Rd
Hendersonville, NC 28791-3772
Phone
(828) 693-1773
NPI assigned
Mar 21, 2017
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 2023-03490 NC Primary

Addresses

Primary practice location

1701 Old Village Rd
Hendersonville, NC 28791-3772

Mailing address

1701 Old Village Rd
Hendersonville, NC 28791-3772
Phone (828) 693-1773

Other practice location 1

4101 Woolworth Ave
Omaha, NE 68105-1850
Phone (579) 680-0451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828004418 NC Practitioner - Ophthalmology 5496157976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Ophthalmology PAGroup PAC ID 1456325604, 10 clinicians

Practice addresses (Care Compare)

1701 Old Village Rd
Hendersonville, NC 28791-3772
Phone (828) 693-1773

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2023-03490NCMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Ophthalmology, PA Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients
Carolina Ophthalmology PA Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients

Locations

1 Vanderbilt Park Dr
Ste 150
Asheville, NC 28803
Phone (828) 277-8233

1998 Hendersonville Rd
Ste 40
Asheville, NC 28803
Phone (800) 624-6575

1701 Old Village Rd
Hendersonvlle, NC 28791
Phone (828) 693-1773

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1013448216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 OLD VILLAGE RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913772",
            "telephone_number": "828-693-1773",
            "fax_number": "828-692-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 OLD VILLAGE RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913772",
            "telephone_number": "828-693-1773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 Woolworth Ave",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681051850",
            "country_code": "US",
            "telephone_number": "579-680-0451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FARID",
        "middle_name": "MANSOOR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NC",
            "license": "2023-03490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.