Individual provider Active NPI

Sabrina Khan, O.D

  • Optometrist
  • Schaumburg, IL
National Provider Identifier
1710338355
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011019 Issued in IL
Practice address
5 Woodfield Mall
Lenscrafter D330
Schaumburg, IL 60173-5012
Phone
(847) 619-9471
NPI assigned
Jun 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011019 IL Primary

Addresses

Primary practice location

5 Woodfield Mall
Lenscrafter D330
Schaumburg, IL 60173-5012

Mailing address

5 Woodfield Mall
Lenscrafter D330
Schaumburg, IL 60173-5012
Phone (847) 619-9471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
046011019ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Eyecare Services, LLC Optometrist Past Accepting new patients

Organizations & group practices 1

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": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1710338355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WOODFIELD MALL",
            "address_2": "LENSCRAFTER D330",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735012",
            "telephone_number": "847-619-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WOODFIELD MALL",
            "address_2": "LENSCRAFTER D330",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735012",
            "telephone_number": "847-619-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SABRINA",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.