Individual provider Active NPI

Mehak Khan, OD

  • Optometrist
  • Winter Haven, FL
National Provider Identifier
1104563857
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6078 Issued in FL
Practice address
250 Avenue K SW Ste 200
Winter Haven, FL 33880-3919
Phone
(863) 297-5400
NPI assigned
May 15, 2022
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6078 FL Primary

Addresses

Primary practice location

250 Avenue K SW Ste 200
Winter Haven, FL 33880-3919

Mailing address

250 Avenue K SW Ste 200
Winter Haven, FL 33880-3919
Phone (863) 297-5400

Other practice location 1

5520 E State Road 64
Bradenton, FL 34208-5526
Phone (941) 721-0649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231220003323 FL Practitioner - Optometry 0749630416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

250 Ave K SW
Suite 200
Winter Haven, FL 33880-3919
Phone (863) 297-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6078FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Vitreous and Retina Consultants, LLC CurrentSince Sep 22, 2025 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Vitreous & Retina Consultants, PA CurrentSince Sep 22, 2025 Accepting new patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince Oct 1, 2023 Accepting new patients

Locations

3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600

1655 E Highway 50
Ste 202
Clermont, FL 34711
Phone (352) 242-0204

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

137 Patterson Rd
Haines City, FL 33844
Phone (407) 254-0005

2815 Lakeland Hills Blvd
Ste 200
Lakeland, FL 33805
Phone (863) 297-5400

4636 Bellwether Ln
Oxford, FL 34484
Phone (863) 297-5400

5233 US 27 N
Sebring, FL 33870
Phone (863) 345-4350

5233 US 27 N
Ste 1
Sebring, FL 33870

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

250 Avenue K SW
Ste 200
Winter Haven, FL 33880
Phone (863) 297-5400

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mehak.khan@crmd.emadirect.md

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": "1652572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1104563857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 AVENUE K SW STE 200",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803919",
            "telephone_number": "863-297-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 AVENUE K SW STE 200",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803919",
            "telephone_number": "863-297-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5520 E State Road 64",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342085526",
            "country_code": "US",
            "telephone_number": "941-721-0649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MEHAK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.