Muhammed Umair Khan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3046 Issued in CT

Practice address

485 Willard Ave
Newington, CT 06111-2318

Phone

(860) 666-7053

NPI assigned

Jul 18, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkhan@modestoeye.intellechartdirect.net

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.

• Total Vision-Eye Health Center LLC

  • Optometrist
  • Uncasville, CT
  • NPI 1447327127
  NPD
• Total Vision-Eye Health Center LLC

  • Optometrist
  • Newington, CT
  • NPI 1528157534
  NPD
• Totalvision Eye Health Center LLC

  • Optometrist
  • Rocky Hill, CT
  • NPI 1184122608
  NPD
• Modesto Eye Center Inc

  • Eyewear Supplier
  • Modesto, CA
  • NPI 1942501952

  Optometrist

  NPD

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1306369814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 WILLARD AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 WILLARD AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112318",
            "telephone_number": "860-666-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUHAMMED",
        "middle_name": "UMAIR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A. Kennedy, DDS
• Christine Joan Kenney, CADC
• Karen Kerpelman, OT
• Kirsten Kerrigan, M.D.
• Saritha Ketepalle, DDS
• Phong Kieu
• Kimberly Healthcare Group LLC
• Kathleen Louise King, APRN
• Alla Kirzon
• Nancy Merrill Klatt, R PH

• Optometrist in Newington, CT
• Providers in Newington, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.