Individual provider Active NPI

Tehreem Khan, OD

  • Optometrist
  • Brick, NJ
National Provider Identifier
1104420983
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00701900 Issued in NJ
Practice address
588 Route 70 Ste 9
Brick, NJ 08723-4023
Phone
(732) 864-0755
Fax
(732) 864-1607
NPI assigned
Nov 23, 2020
Last updated
Nov 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00701900 NJ Primary

Addresses

Primary practice location

588 Route 70 Ste 9
Brick, NJ 08723-4023

Mailing address

424 Colleen CT
Toms River, NJ 08755-7325
Phone (276) 618-0736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210211002051 NJ Practitioner - Optometry 6608281282 Reassigns benefits to 2 organizations
I20251106004790 FL Practitioner - Optometry 6608281282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocean Health Initiatives, IncGroup PAC ID 2062405277, 27 clinicians
Priority Eye Care LLCGroup PAC ID 7719319854, 3 clinicians

Practice addresses (Care Compare)

101 2ND St
Lakewood, NJ 08701-3324
Phone (732) 363-6655

326 W Main St
Freehold, NJ 07728-2524
Phone (732) 561-8551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00701900NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Health Initiatives, Inc CurrentSince Jan 12, 2026 Accepting new patients
Priority Eye Care, LLC Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Friendly Eyes Optometry LLC CurrentSince Sep 1, 2025 Accepting new patients
Ocean Health Initiatives Past Accepting new patients

Locations

1808 W International Speedway Blvd
Ste 502
Daytona Beach, FL 32114
Phone (386) 255-1541

326 W Main St
Freehold, NJ 07728
Phone (732) 561-8551

101 2nd St
Lakewood, NJ 08701
Phone (732) 886-4809

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1104420983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 COLLEEN CT",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087557325",
            "telephone_number": "276-618-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 ROUTE 70 STE 9",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234023",
            "telephone_number": "732-864-0755",
            "fax_number": "732-864-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "TEHREEM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00701900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.