Anna Khesin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

008639 Issued in NY

Practice address

12102 Liberty Ave
South Richmond Hill, NY 11419-2112

Phone

(718) 835-3400

NPI assigned

Jul 10, 2017

Last updated

Sep 28, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Liberty Eyecare Corp

  • Optometrist
  • South Richmond Hill, NY
  • NPI 1194247619
  Medicare reassignment NPD
• Liberty Optical Corp

  dba Fabulous Optical

  • Optometrist
  • South Richmond Hill, NY
  • NPI 1235538596
  Medicare reassignment NPD
• Ny Optometrist Vision PC

  • Optometrist
  • Flushing, NY
  • NPI 1174014591
  Medicare reassignment NPD
• We Care for Eyes Inc

  • Ophthalmic Technician/Technologist
  • Rego Park, NY
  • NPI 1538405287
  Medicare reassignment NPD

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1912429226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12102 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12102 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192112",
            "telephone_number": "718-835-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHESIN",
        "first_name": "ANNA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Riad Kayume, DC
• Fereydoun Khalili I, DDS
• Ashley Khan, LMSW
• Kevin Matthew Khan, RPA-C
• Shara Khan
• Aisha Khizar
• SE H Kim, MD
• Joshua Brian Kimmel, MS
• Ray Michael King, PHARM D.
• Alexander Kintzoglou, MD

• Optometrist in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.