Khodai Optometric Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

11263T Issued in CA

Legal business name

KHODAI OPTOMETRIC VISION CENTER

Practice address

126 Fresco LN
Palm Desert, CA 92211-0772

Phone

(760) 564-4430

NPI assigned

Aug 25, 2007

Last updated

Aug 25, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Omid Khodai, ODNPI 1134197742

Title

President

Phone

(760) 564-4430

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omid Khodai, O.D.

  • Optometrist
  • Lake Forest, CA
  • NPI 1134197742
  NPD (past) Authorized official

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

{
    "created_epoch": "1188000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188000000000",
    "number": "1609069301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 FRESCO LN",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 FRESCO LN",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110772",
            "telephone_number": "760-564-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHODAI OPTOMETRIC VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-25",
        "last_updated": "2007-08-25",
        "status": "A",
        "authorized_official_last_name": "KHODAI",
        "authorized_official_first_name": "OMID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-564-4430",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11263T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Hirsch Kern, RPH
• Frank T Kerrigan, DO
• Janet M Kerrigan, DO
• Angela Maria Kessler
• Laya Khan
• Sarah Anvari Khoshniyati, DDS
• Changhyun Kim, M.D.
• Joseph J. Kim
• Kelly Min Ah Kim
• Kimberly Swanson Rdhap, P.C. (Smiles for Life, A Dental Hygiene Practice of Kimberly Swanson RDHAP)

• Optometrist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2007; 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.