Individual provider Active NPI

Dania Khan

  • Optometrist
  • East Providence, RI
National Provider Identifier
1033754627
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00687 Issued in RI
Practice address
400 Warren Ave
East Providence, RI 02914-3826
Phone
(401) 438-4447
NPI assigned
Nov 7, 2019
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00687 RI Primary

Addresses

Primary practice location

400 Warren Ave
East Providence, RI 02914-3826

Mailing address

400 Warren Ave
East Providence, RI 02914-3826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20221107002360 NY Practitioner - Optometry 3577996826 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Sparkle Optical CorporationGroup PAC ID 5193081289, 3 clinicians

Practice addresses (Care Compare)

1097 Route 55
Suite 4
Lagrangeville, NY 12540-5027
Phone (845) 471-7710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dutchess Optometry, L.L.P. Optometrist CurrentSince Oct 11, 2022 Accepting new patients
Dutchess Optometry, LLP Optometrist Current Accepting new patients
Empire Vision Center, Inc CurrentSince Feb 19, 2025 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Feb 19, 2025 Accepting new patients
Eye Appeal Opticians, Inc. Optometrist CurrentSince Jul 24, 2024 Accepting new patients
Eye Sparkle Optical Corporation Optometrist CurrentSince Jul 24, 2024 Accepting new patients
Robert S Greenbaum OD PLLC Optometrist Past Accepting new patients
Moriarty Physical Therapy, P.C. Multi-Specialty PastSince Mar 11, 2025 Accepting new patients

Locations

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

1097 Route 55
Ste 4
Lagrangeville, NY 12540
Phone (845) 471-7710

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

45 Eastdale Ave N
Ste 102
Poughkeepsie, NY 12603
Phone (845) 495-3070

7 Fulton Ct
Poughkeepsie, NY 12603
Phone (845) 471-3650

7381 S Broadway
Red Hook, NY 12571
Phone (845) 758-8818

1663 E Henrietta Rd
Rochester, NY 14623
Phone (585) 424-7000

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1033754627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WARREN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WARREN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143826",
            "telephone_number": "401-438-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "DANIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.