Individual provider Active NPI

Inrava Khasnabish, O.D.

  • Optometrist
  • Bethpage, NY
National Provider Identifier
1952897571
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ORT009011-01 Issued in NY
Practice address
4300 Hempstead Tpke
Bethpage, NY 11714-5704
Phone
(516) 210-8200
NPI assigned
Jul 6, 2018
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002668 VA
Optometrist 152W00000X ORT009011-01 NY Primary

Addresses

Primary practice location

4300 Hempstead Tpke
Bethpage, NY 11714-5704

Mailing address

4300 Hempstead Tpke
Bethpage, NY 11714-5704

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200228001070 NY Practitioner - Optometry 8820335011 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

4300 Hempstead Tpke
Bethpage, NY 11714-5704
Phone (516) 562-3090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ORT009011-01NYMDOptometrist
0618002668VAMDOptometrist
009011NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Dec 23, 2025 Accepting new patients
Diamond District Corneal, P.C. CurrentSince Jul 1, 2021 Accepting new patients
North Shore - Lij Medical PC CurrentSince Dec 23, 2025 Accepting new patients
Noreen Kamal-Mostafavi MD PLLC CurrentSince Dec 24, 2019 Accepting new patients
Ejmvkk Associates Inc Optometrist CurrentSince Nov 16, 2022 Accepting new patients
Sap Optical Optometrist PastSince Sep 25, 2022 Accepting new patients

Locations

4300 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 210-8200

600 Northern Blvd
Ste 218
Great Neck, NY 11021

300 Community Dr
Manhasset, NY 11030

10222 Atlantic Ave
Ozone Park, NY 11416
Phone (718) 846-1144

3860 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-2222

445 Clawson St
Staten Island, NY 10306
Phone (718) 351-0525

Organizations & group practices 6

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": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1952897571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 HEMPSTEAD TPKE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 HEMPSTEAD TPKE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145704",
            "telephone_number": "516-210-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHASNABISH",
        "first_name": "INRAVA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002668",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "ORT009011-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

Verify at the official NPI Registry.