Individual provider Active NPI

Shabana Khan, O.D.

  • Corneal and Contact Management Optometrist
  • McKinney, TX
National Provider Identifier
1801003504
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
6442TG Issued in TX
Practice address
1721 N Custer Rd
McKinney, TX 75071-3274
Phone
(972) 540-2020
Fax
(972) 540-2010
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 6442TG TX Primary

Addresses

Primary practice location

1721 N Custer Rd
McKinney, TX 75071-3274

Mailing address

1721 N Custer Rd
McKinney, TX 75071-3274
Phone (972) 540-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120215000595 TX Practitioner - Optometry 1153589437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1721 N Custer Rd
North Texas Family Eye Care
McKinney, TX 75071-3274
Phone (972) 540-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6442TGTXMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shabana Khan OD PA CurrentSince Nov 28, 2011 Accepting new patients

Locations

1721 N Custer Rd
McKinney, TX 75071
Phone (972) 540-2020

8880 State Highway 121
Ste 141
McKinney, TX 75070
Phone (214) 383-2047

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1801003504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 N CUSTER RD",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713274",
            "telephone_number": "972-540-2020",
            "fax_number": "972-540-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 N CUSTER RD",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713274",
            "telephone_number": "972-540-2020",
            "fax_number": "972-540-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHABANA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "6442TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.