DR. TERRRY KHRAISHI OD INC
NPI 1043879000
Optometrist in Wilmington, CA

Active since June 12, 2019
317 W PACIFIC COAST HWY STE B, WILMINGTON, CA 90744(424) 264-5821(424) 264-5821 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 10, 2020, Jun 12, 2019 (2 updates tracked since 2019).

  • Organization
  • Optometrist

About DR. TERRRY KHRAISHI OD INC

This page provides the complete NPI Profile along with additional information for Dr. Terrry Khraishi Od Inc, a provider established in Wilmington, California operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1043879000 assigned on June 2019. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Tariq T Khraishi Od (Owner)

NPI
1043879000 Verify this NPI
Provider Name
DR. TERRRY KHRAISHI OD INC
Entity Type
Organization
Location Address
317 W PACIFIC COAST HWY STE B WILMINGTON, CA 90744
Location Phone
(424) 264-5821
Location Fax
(424) 264-5821
Mailing Address
317 W PACIFIC COAST HWY STE B WILMINGTON, CA 90744
Mailing Phone
(424) 264-5821
Mailing Fax
(424) 264-5821
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-12-2019
Last Update Date
04-10-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TARIQ T KHRAISHI OD

Authorized Official Title
OWNER
Authorized Official Phone
(310) 864-9323

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Optometrist
317 W PACIFIC COAST HWY STE B
WILMINGTON, CA 90744

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043879000, enumerated as an "organization" on June 12, 2019.

The provider is located at 317 W PACIFIC COAST HWY STE B WILMINGTON, CA 90744 and the phone number is (424) 264-5821.

Optometrist with taxonomy code 152W00000X.