Individual provider Active NPI

Mustafaa Khan, OD

  • Optometrist
  • Ocoee, FL
National Provider Identifier
1649959453
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6301 Issued in FL
Practice address
9428 W Colonial Dr
Ocoee, FL 34761-6800
Phone
(407) 291-1921
NPI assigned
Jul 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6301 FL Primary

Addresses

Primary practice location

9428 W Colonial Dr
Ocoee, FL 34761-6800

Mailing address

600 Field Club Cir
Casselberry, FL 32707-6722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230822001057 FL Practitioner - Optometry 4284096348 Reassigns benefits to 4 organizations
I20250408001747 VA Practitioner - Optometry 4284096348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Vision Care, P.a.Group PAC ID 3971981713, 3 clinicians

Practice addresses (Care Compare)

1200 S Pine Island Rd
Plantation, FL 33324-4409
Phone (888) 840-8937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Vision Care, P.a. Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Gulf Coast Optometry, PA CurrentSince Mar 1, 2025 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Aria Eye Care, LLC Optometrist CurrentSince Mar 10, 2025 Accepting new patients
Global Care Optometry II PA Optometrist CurrentSince Jan 2, 2025 Accepting new patients
National Vision, Inc. PastSince Mar 1, 2025 Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

535 S Ferdon Blvd
Ste B
Crestview, FL 32536
Phone (850) 226-7322

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

18100 NW 57th Ave
Ste 102
Hialeah, FL 33015
Phone (786) 746-9296

9428 W Colonial Dr
Ocoee, FL 34761
Phone (407) 291-1921

741 N Alafaya Trl
Unit H1
Orlando, FL 32828
Phone (407) 658-1693

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112

10826 Old Mill Rd
Ste 101
Omaha, NE 68154

8830 Virginia St
Amelia Ct Hse, VA 23002
Phone (804) 561-5611

776 Oak Grove Rd
Chesapeake, VA 23320
Phone (757) 261-4000

Networks

  • Freedom Health HMO Network

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1649959453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FIELD CLUB CIR",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9428 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347616800",
            "telephone_number": "407-291-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUSTAFAA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.