Khai Van, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011264 Issued in IL

Practice address

16205 Harlem Ave Ste B
Tinley Park, IL 60477-1682

Phone

(708) 614-9301

NPI assigned

Feb 11, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• America's Best Contacts & Eyeglasses

  • Eyewear Supplier
  • Tinley Park, IL
  • NPI 1447287875
  NPD (past)

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1467918854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8535 MENARD AVE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592660",
            "telephone_number": "773-627-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16205 HARLEM AVE STE B",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771682",
            "telephone_number": "708-614-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "KHAI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Valencia
• Valentino Counseling LLC
• Danielle Lynn Valentino, MA, LCPC, CADC, CNA
• Valley Creek Family Dental LTD
• Kimberly D Van Wyngarden, APRN-BC
• Vandenberg Med-Tech Equipment, Inc.
• Dawn Marie Vandermeer, FNP
• Monica Vandervoort, PT
• Jolly Susan Varghese, M.D.
• Sara Vari

• Optometrist in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.