Individual provider Active NPI

Huda Khan, OD

  • Optometrist
  • Silver Spring, MD
National Provider Identifier
1407318280
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
DA2791 Issued in MD
Practice address
10101 Colesville Rd
Silver Spring, MD 20901-2426
Phone
(301) 754-0101
Fax
(301) 754-0102
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00686300 NJ
Optometrist 152W00000X DA2791 MD Primary

Addresses

Primary practice location

10101 Colesville Rd
Silver Spring, MD 20901-2426

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20210709001304 DC Practitioner - Optometry 0648512210 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colonial Opticians of Poolesville IncGroup PAC ID 6305260134, 2 clinicians

Practice addresses (Care Compare)

10130 River Rd
Unit a
Potomac, MD 20854-4965
Phone (301) 299-5222

718 Ctr Point Way
Gaithersburg, MD 20878-6469
Phone (301) 990-0398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DA2791MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Rockville Optometry, LLC Optometrist CurrentSince Aug 10, 2021 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Aug 10, 2021 Accepting new patients
Colonial Opticians of Poolesville Inc. CurrentSince Oct 1, 2021 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Aug 10, 2021 Accepting new patients
Komm Medical Eye & Vision Group, LTD. Optometrist Past Accepting new patients
Dale Stein and Associates, OD, PC Optometrist PastSince Apr 2, 2019 Accepting new patients

Locations

80 Market St
Gaithersburg, MD 20878
Phone (301) 990-1122

718 Center Point Way
Gaithersburg, MD 20878
Phone (301) 990-0398

19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200

7721 Tuckerman Ln
Potomac, MD 20854
Phone (301) 983-5884

14929 Shady Grove Rd
Unit K
Rockville, MD 20850
Phone (301) 424-1050

1701 Rockville Pike
Ste A4
Rockville, MD 20852
Phone (301) 984-2111

8529 Georgia Ave
Silver Spring, MD 20910
Phone (301) 588-3232

10101 Colesville Rd
Silver Spring, MD 20901
Phone (301) 466-8439

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1407318280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 COLESVILLE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209012426",
            "telephone_number": "301-754-0101",
            "fax_number": "301-754-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "HUDA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00686300",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "DA2791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.