Individual provider Active NPI

Farah Zenith Mehkri

  • Optometrist
  • Kennewick, WA
National Provider Identifier
1639921422
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61571204 Issued in WA
Practice address
3700 W Clearwater Ave
Kennewick, WA 99336-2636
Phone
(509) 735-1312
NPI assigned
Apr 4, 2024
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD61571204 WA Primary

Addresses

Primary practice location

3700 W Clearwater Ave
Kennewick, WA 99336-2636

Mailing address

3700 W Clearwater Ave
Kennewick, WA 99336-2636

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240801001948 WA Practitioner - Optometry 1951848423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3700 W Clearwater Ave
Kennewick, WA 99336-2636
Phone (509) 735-1312

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD61571204WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Visionary Eyecare PLLC Optometrist CurrentSince Jul 18, 2024 Accepting new patients
Washington Visionary Eyecare PLLC Optometrist Current Accepting new patients
Kennewick Vision Care PC Optometrist PastSince Jul 18, 2024 Accepting new patients

Locations

5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436
Phone (775) 359-2020

3700 W Clearwater Ave
Kennewick, WA 99336
Phone (509) 735-1312

11700 Mukilteo Speedway
Ste 501
Mukilteo, WA 98275
Phone (425) 315-8300

Interoperability endpoints

  • Direct secure messaging: fmehkri@mykvc.emadirect.md
  • FHIR API: https://mykvc.ef.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1639921422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W CLEARWATER AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W CLEARWATER AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362636",
            "telephone_number": "509-735-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHKRI",
        "first_name": "FARAH",
        "middle_name": "ZENITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61571204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.