Organization Active NPI

Vision Specialists of California, PC

Doing business as Khan Vision Specialists

  • Glaucoma Specialist (Ophthalmology) Physician
  • San Diego, CA
National Provider Identifier
1508478850
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
Legal business name
VISION SPECIALISTS OF CALIFORNIA, PC
Doing business as
Khan Vision Specialists
Practice address
233 Lewis St
San Diego, CA 92103-2122
Phone
(619) 501-9050
Fax
(619) 501-9054
NPI assigned
Aug 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Fahad Khan, MDNPI 1548605843
Title
Owner
Phone
(619) 501-9050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0009X Primary

Addresses

Primary practice location

233 Lewis St
San Diego, CA 92103-2122

Mailing address

233 Lewis St
San Diego, CA 92103-2122
Phone (619) 501-9050

Other names 1

  • Khan Vision Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210625001516 CA Part B Supplier - Clinic/Group Practice 3577964717 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2289261Vision Specialists of California233 Lewis St, San Diego, CA 92103Certificate of waiverSep 6, 2027

National Provider Directory

National Provider Directory

Locations

233 Lewis St
San Diego, CA 92103
Phone (619) 299-1100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1508478850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 LEWIS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032122",
            "telephone_number": "619-501-9050",
            "fax_number": "619-501-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 LEWIS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032122",
            "telephone_number": "619-501-9050",
            "fax_number": "619-501-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SPECIALISTS OF CALIFORNIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FAHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-501-9050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Khan Vision Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.