Individual provider Active NPI

Ayesha Bukhari-Khan, O.D

  • Optometrist
  • Hallandale Beach, FL
National Provider Identifier
1891187548
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5018 Issued in FL
Practice address
1935 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4708
Phone
(954) 458-2112
NPI assigned
Mar 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5018 FL Primary

Addresses

Primary practice location

1935 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4708

Mailing address

20007 NW 85TH Ave
Hialeah, FL 33015-5984
Phone (786) 281-2532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150914002516 FL Practitioner - Optometry 8628385382 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5018FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kendall Eye Institute Inc CurrentSince Mar 23, 2025 Accepting new patients

Locations

8501 SW 124th Ave
Ste 109
Miami, FL 33183
Phone (305) 271-4544

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": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1891187548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20007 NW 85TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155984",
            "telephone_number": "786-281-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094708",
            "telephone_number": "954-458-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKHARI-KHAN",
        "first_name": "AYESHA",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.