Individual provider Active NPI

Nasiruddin Ali Khan, O.D.

  • Optometrist
  • Hanford, CA
National Provider Identifier
1366482374
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 12386 TPA Issued in CA
Practice address
431 N Irwin St
Hanford, CA 93230-4425
Phone
(559) 582-9244
Fax
(559) 582-2748
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 12386 TPA CA Primary

Addresses

Primary practice location

431 N Irwin St
Hanford, CA 93230-4425

Mailing address

2830 W Main St
Visalia, CA 93291-4331
Phone (559) 636-1000

Other identifiers 1

IdentifierTypeStateIssuer
OPT 12386 TPAOtherCAOPTOMOTRY LICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 12386 TPACAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Mayer, OD, an Optometric Corporation Optometrist PastSince Aug 15, 2003 Accepting new patients

Organizations & group practices 1

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366482374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914331",
            "telephone_number": "559-636-1000",
            "fax_number": "559-733-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 N IRWIN ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304425",
            "telephone_number": "559-582-9244",
            "fax_number": "559-582-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NASIRUDDIN",
        "middle_name": "ALI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 12386 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMOTRY LICENSE",
            "identifier": "OPT 12386 TPA",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.