Individual provider Active NPI

Farrah Khoja, O.D.

  • Optometrist
  • Leander, TX
National Provider Identifier
1104279835
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8974T Issued in TX
Practice address
2906 S Bagdad Rd
Ste 250
Leander, TX 78641-3274
Phone
(512) 243-6434
Fax
(512) 910-2555
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 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 8974T TX Primary

Addresses

Primary practice location

2906 S Bagdad Rd
Ste 250
Leander, TX 78641-3274

Mailing address

2906 S Bagdad Rd
Ste 250
Leander, TX 78641-3274
Phone (512) 243-6434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20161102002317 TX Practitioner - Optometry 7618255217 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8974TXMDBehavioral Analyst
8974TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Farrah Khoja OD PA Optometrist CurrentSince Jul 2, 2019 Accepting new patients

Locations

2906 S Bagdad Rd
Leander, TX 78641
Phone (512) 243-6434

2906 S Bagdad Rd
Ste 250
Leander, TX 78641
Phone (512) 243-6434

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1104279835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 S BAGDAD RD",
            "address_2": "STE 250",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413274",
            "telephone_number": "512-243-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 S BAGDAD RD",
            "address_2": "STE 250",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413274",
            "telephone_number": "512-243-6434",
            "fax_number": "512-910-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOJA",
        "first_name": "FARRAH",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8974T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

Verify at the official NPI Registry.