Individual provider Active NPI

Aftab Khan, OD

  • Optometrist
  • Durham, NC
National Provider Identifier
1659135804
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003371 Issued in VA
Practice address
1122 Commack Dr
Durham, NC 27703-6805
Phone
(305) 331-6205
NPI assigned
Feb 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 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 0618003371 VA Primary

Addresses

Primary practice location

1122 Commack Dr
Durham, NC 27703-6805

Mailing address

1122 Commack Dr
Durham, NC 27703-6805
Phone (305) 331-6205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, AL2 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
I20240812000688 VA Practitioner - Optometry 6709324684 Reassigns benefits to 1 organization
I20260623001973 AL Practitioner - Optometry 6709324684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1404 Avalon Ave
Suite a
Tuscumbia, AL 35674-1771

1404 E Avalon Ave
Suite a
Tuscumbia, AL 35674-1771

510 N Pearl St
Suite 2000
Macomb, FL 61555-3159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Vision Optometry P.C. Optometrist CurrentSince Jun 1, 2024 Accepting new patients

Locations

94 South Ave
Harrisonburg, VA 22801
Phone (276) 638-8701

355 William Mills Dr
Stanardsville, VA 22973
Phone (434) 985-4434

200 W Constance Rd
Suffolk, VA 23434
Phone (347) 829-6863

Organizations & group practices 2

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": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1659135804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 COMMACK DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036805",
            "telephone_number": "305-331-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 COMMACK DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036805",
            "telephone_number": "305-331-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AFTAB",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.