Kim Dankha, DOCTOR OF OPTOMETRY

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002547 Issued in AZ

Practice address

19408 N 36TH Way
Phoenix, AZ 85050-3907

Phone

(708) 417-9055

NPI assigned

Nov 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kim Korkis Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Randall K Tozer MD PCGroup PAC ID 4688703168, 6 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Randall K Tozer MD PC

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1366769853

  Optometrist

  Medicare reassignment Care Compare group NPD
• Randall K Tozer MD PC

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
  • NPI 1164258216

  Optometrist

  NPD

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1942965504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19417 N 37TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503913",
            "telephone_number": "708-417-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19408 N 36TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503907",
            "telephone_number": "708-417-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANKHA",
        "first_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF OPTOMETRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "KORKIS",
            "prefix": "DR.",
            "credential": "DOCTOR OF OPTOMETRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason B Daniels, MD
• Jessica Daniels, MD
• Lisa M Daniels, PA
• Paul Ronald Daniels, DDS
• Tianna Daniels
• Shiloh Joy Danley, NP-C
• Jeffrey Carlyle Dann, MD
• Eugene G. Dannels, DPM
• Bridgit Beasley Danner, LAC
• Paige Danner, DPM

• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.