Tarek Khalil, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618003413 Issued in VA

Practice address

21135 Whitfield PL Ste 102
Potomac Falls, VA 20165-7279

Phone

(703) 766-6165

Fax

(703) 345-9356

NPI assigned

May 15, 2024

Last updated

Nov 19, 2024By the provider in NPPES

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 VA, DC2 enrollments

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 2

Specialty

Optometry

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Physicians and Surgeons IncGroup PAC ID 8820133929, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Physicians and Surgeons Inc

  • Ophthalmology Physician
  • Fairfax, VA
  • NPI 1518292275

  DC

  Medicare reassignment Care Compare group NPD
• Joanne Crenshaw, MD PC

  • Ophthalmology Physician
  • Sterling, VA
  • NPI 1821137738
  Medicare reassignment NPD
• Myeyedr Optometry of Virginia PLLC

  dba MyEyeDr

  • Optometrist
  • Ashburn, VA
  • NPI 1174933691
  Medicare reassignment NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • North Chesterfield, VA
  • NPI 1932075983
  NPD
• Myeyedr Optometry of Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Bristow, VA
  • NPI 1932865730
  NPD
• Ryan Crenshaw MD PC

  • Gastroenterology Physician
  • Sterling, VA
  • NPI 1487970695
  NPD
• John P Essepian MD PC

  • Ophthalmology Physician
  • Fairfax, VA
  • NPI 1902085376
  NPD (past)

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1457100067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21135 WHITFIELD PL",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201657283",
            "telephone_number": "703-766-6165",
            "fax_number": "703-345-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21135 WHITFIELD PL STE 102",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201657279",
            "telephone_number": "703-766-6165",
            "fax_number": "703-345-9356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10338 Bristow Center Dr",
            "address_purpose": "LOCATION",
            "city": "Bristow",
            "state": "VA",
            "postal_code": "201362201",
            "country_code": "US",
            "telephone_number": "703-392-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "TAREK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Richard Jackomis, D.D.S., J.D.
• Kelly Renee Jacobs- Belodeau
• Karma Home Health Care LLC
• Jeffrey L Kent, DO
• Kaitlin Mae Kersey, FNP
• Kidsfirst Pediatrics, PLLC
• Labmd2, Inc (ANYLABTESTNOW-Potomac Falls)
• Daniel Jae-Ryong Lee, DC
• Asdollah Livani, M.D.
• Loudoun Anesthesia Associates

• Optometrist in Potomac Falls, VA
• Providers in Potomac Falls, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.