Individual provider Active NPI

Zahra Khalid

  • Optometrist
  • Oak Creek, WI
National Provider Identifier
1386250538
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3646-35 Issued in WI
Practice address
8661 S Howell Ave Ste 200
Oak Creek, WI 53154-2919
Phone
(414) 847-0164
NPI assigned
Sep 22, 2020
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3646-35 WI Primary

Addresses

Primary practice location

8661 S Howell Ave Ste 200
Oak Creek, WI 53154-2919

Mailing address

8661 S Howell Ave Ste 200
Oak Creek, WI 53154-2919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20231003003020 WI Practitioner - Optometry 9830543263 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Sep 5, 2023 Accepting new patients
Visionworks, Inc CurrentSince Sep 5, 2023 Accepting new patients
America's Best Contacts & Eyeglasses PastSince Sep 27, 2020 Accepting new patients

Locations

16025 W Bluemound Rd
Brookfield, WI 53005
Phone (262) 785-0490

4800 Golf Rd
Ste 436
Eau Claire, WI 54701
Phone (715) 834-8404

2500 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 453-2315

Organizations & group practices 3

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": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1386250538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8661 S HOWELL AVE STE 200",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8661 S HOWELL AVE STE 200",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542919",
            "telephone_number": "414-847-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "ZAHRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3646-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

Verify at the official NPI Registry.