Ivy Kha, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT35412-TLG Issued in CA

Practice address

298 W MC Kinley Ave
Sunnyvale, CA 94086-6193

Phone

(408) 702-1029

NPI assigned

Jan 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

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 and National Provider Directory roles.

• Total Vision PC

  • Optometrist
  • San Diego, CA
  • NPI 1356813711

  CA, Optometrist

  Medicare reassignment NPD
• J Pietrantonio OD Inc

  • Optometrist
  • Los Gatos, CA
  • NPI 1346442043
  NPD (past)
• Luxottica Retail North America, Inc

  • Eyewear Supplier
  • Fremont, CA
  • NPI 1578073607
  NPD (past)

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1619682382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 W MC KINLEY AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940866193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 W MC KINLEY AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940866193",
            "telephone_number": "408-702-1029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39201 Fremont Blvd",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381301",
            "country_code": "US",
            "telephone_number": "510-789-0914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2004 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950504051",
            "country_code": "US",
            "telephone_number": "408-244-2831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHA",
        "first_name": "IVY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "997",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35412-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Bartoli Keller, D.D.S., M.S.D.
• Michael O'Hara Kelley, PH.D., MFT
• Barbara Anne Kempeny, DC
• Ken Fujinaka Chiropractic, Inc.
• Kevin J. Coolidge DDS Inc.
• Nickey Kha
• Nina Kha, PT
• Fatima Moiz Khambaty, MD
• Amir-Reza J Khamneipur, DC
• Maryam Khan

• All providers in Sunnyvale, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.