Individual provider Active NPI

Farnaz Khankhanian, O.D.

  • Optometrist
  • Carson City, NV
National Provider Identifier
1912022666
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
590 Issued in NV
Practice address
3790 US Highway 395 S
Ste 407
Carson City, NV 89705-6968
Phone
(775) 267-2012
Fax
(775) 267-2010
NPI assigned
Mar 20, 2007
Last updated
Nov 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 590 NV Primary

Addresses

Primary practice location

3790 US Highway 395 S
Ste 407
Carson City, NV 89705-6968

Mailing address

3790 US Highway 395 S
Suite 407
Carson City, NV 89705-6968
Phone (775) 267-2012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20080212000178 NV Practitioner - Optometry 2365483617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3790 US Hwy 395 S
Suite 407
Carson City, NV 89705-5809
Phone (775) 267-2012

Merit-based Incentive Payment System (MIPS)

Final score
76.96 of 100Reported as individual
Quality
53.92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery90

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
590NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Farnaz Khankhanian O D Professional Corporation Optometrist CurrentSince Sep 24, 2007 Accepting new patients

Locations

3790 US Highway 395 S
Ste 407
Carson City, NV 89705
Phone (775) 267-2012

Interoperability endpoints

  • Direct secure messaging: farnaz@eaglevision.eyefinity-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1912022666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 US HIGHWAY 395 S",
            "address_2": "SUITE 407",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897056968",
            "telephone_number": "775-267-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 US HIGHWAY 395 S",
            "address_2": "STE 407",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897056968",
            "telephone_number": "775-267-2012",
            "fax_number": "775-267-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANKHANIAN",
        "first_name": "FARNAZ",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.