Active NPI
Krishna Khatri, O.D.
- Optometrist
- Novi, MI
National Provider Identifier
1295023851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004643
- Practice address
- 22803 Clearwater CT
Novi, MI 48375-4656 - Phone
- (312) 880-9864
- NPI assigned
- Jul 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004643 | MI | Primary |
Addresses
Primary practice location
22803 Clearwater CT
Novi, MI 48375-4656
Mailing address
22803 Clearwater CT
Novi, MI 48375-4656
Phone (312) 880-9864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004643 | MI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1295023851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22803 CLEARWATER CT",
"city": "NOVI",
"state": "MI",
"postal_code": "483754656",
"telephone_number": "312-880-9864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22803 CLEARWATER CT",
"city": "NOVI",
"state": "MI",
"postal_code": "483754656",
"telephone_number": "312-880-9864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHATRI",
"first_name": "KRISHNA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-18",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.