DR. ANGELA KHAKSHOOY O.D.
NPI 1013247212
Optometrist in Henderson, NV

Active since January 11, 2010PECOS EnrolledAccepts Medicare Assignment
61 E LAKE MEAD PKWY, HENDERSON, NV 89015(702) 565-7579 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Angela Khakshooy O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANGELA KHAKSHOOY O.D. (NPI 1013247212) is an individual optometrist in Henderson, Nevada, licensed in California (13893) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2009).

NPPES Registry Identity

NPI1013247212
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANGELA KHAKSHOOYCredential: O.D.
Location Address61 E LAKE MEAD PKWYHenderson, NV 89015-5531
Mailing Address61 E Lake Mead PkwyHenderson, NV 89015-5531 · (702) 565-7579
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2009
Enumeration DateJanuary 11, 2010
Last NPPES UpdateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1013247212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 13893
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 13893 (CA)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 13893 (CA)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 13893 (CA)
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License 13893 (CA)
61 E LAKE MEAD PKWY, Henderson, NV 89015

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Angela Khakshooy O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759411077
PECOS Enrollment IDI20140718000788
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Angela Khakshooy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
556 N EASTERN AVE STE A
Las Vegas, NV 89101
  • Reassigned Medicare billing, Nevada enrollment
  • 16 clinicians in this Medicare group
Optometrist
7105 N DURANGO DR
Las Vegas, NV 89149
  • Reassigned Medicare billing, Nevada enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
61 E LAKE MEAD PKWY
HENDERSON, NV 89015
Optometrist
61 E LAKE MEAD PKWY
HENDERSON, NV 89015
Optometrist
61 E LAKE MEAD PKWY
HENDERSON, NV 89015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Khakshooy's NPI number?

The NPI number for Angela Khakshooy is 1013247212. It was assigned to this individual provider in the NPPES registry on January 11, 2010.

Where is Angela Khakshooy located?

Angela Khakshooy practices at 61 E Lake Mead Pkwy, Henderson, NV 89015. The listed phone number is (702) 565-7579.

What is Angela Khakshooy's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Angela Khakshooy enrolled in Medicare?

Yes. Angela Khakshooy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Angela Khakshooy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Khakshooy reassigns Medicare benefits to 2 organizations: Gammoh Premier Vision LLC (Las Vegas, NV) and Dadej & Ohriner, Ltd (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angela Khakshooy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Khakshooy accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Angela Khakshooy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angela Khakshooy was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.