Individual provider Active NPI

Sabah Habeeb Khatoon, OD

  • Optometrist
  • Spring, TX
National Provider Identifier
1114439817
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10554 Issued in TX
Practice address
6603 FM 2920 Rd
Spring, TX 77379-2636
Phone
(281) 370-4444
Fax
(281) 320-2012
NPI assigned
Nov 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10554 TX Primary

Addresses

Primary practice location

6603 FM 2920 Rd
Spring, TX 77379-2636

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

2195 Southdale Ctr
Edina, MN 55435-7065
Phone (952) 920-8607

Other practice location 2

2195 Southdale Ctr
Edina, MN 55435-7065
Phone (952) 920-8607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX2 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
I20220825002367 MN Practitioner - Optometry 0345624318 Reassigns benefits to 1 organization
I20240223002558 TX Practitioner - Optometry 0345624318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10554TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Visionary Eye Care, PA Optometrist CurrentSince Jul 27, 2022 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jan 1, 2024 Accepting new patients

Locations

851 W 78th St
Chanhassen, MN 55317
Phone (952) 252-1208

18275 Kenrick Ave
Lakeville, MN 55044
Phone (952) 892-0028

7000 York Ave S
Minneapolis, MN 55435
Phone (952) 922-8118

15800 87th St NE
Otsego, MN 55330
Phone (763) 252-1316

6445 Richfield Pkwy
Richfield, MN 55423
Phone (612) 243-0201

21615 S Diamond Lake Rd
Rogers, MN 55374
Phone (763) 428-4831

14333 Highway 13 S
Savage, MN 55378
Phone (952) 226-1411

8900 Highway 7
St Louis Park, MN 55426
Phone (952) 933-4858

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

6603 FM 2920 Rd
Spring, TX 77379
Phone (281) 370-4444

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1114439817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6603 FM 2920 RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792636",
            "telephone_number": "281-370-4444",
            "fax_number": "281-320-2012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2195 Southdale Ctr",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554357065",
            "country_code": "US",
            "telephone_number": "952-920-8607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2195 Southdale Ctr",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554357065",
            "country_code": "US",
            "telephone_number": "952-920-8607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHATOON",
        "first_name": "SABAH",
        "middle_name": "HABEEB",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.