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NABA RAZI KHAN OD
NPI 1114579554
Optometrist in Saint Louis, MO

Active since July 16, 2019PECOS Enrolled
9924 KENNERLY RD, SAINT LOUIS, MO 63128(314) 842-5858 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 29, 2020, Jul 16, 2019 (2 updates tracked since 2019).

About Naba Razi Khan Od NPPES

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

NABA RAZI KHAN OD (NPI 1114579554) is an individual optometrist in Saint Louis, Missouri, licensed in Louisiana (1890-826AT) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114579554
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameNABA RAZI KHANCredential: OD
Location Address9924 KENNERLY RDSaint Louis, MO 63128-2704
Mailing Address1301 Coates Bluff Dr Apt 918Shreveport, LA 71104-2859 · (214) 543-4019
Phone(314) 842-5858
Sole ProprietorYes
Enumeration DateJuly 16, 2019
Last NPPES UpdateOctober 29, 20202 updates tracked since enumeration
NPPES CertifiedOctober 29, 2020
✔ NPI 1114579554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in LA · 1890-826AT
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.
9924 KENNERLY RD, Saint Louis, MO 63128
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Naba Razi Khan Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

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 Naba Khan's NPI number?

The NPI number for Naba Khan is 1114579554. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Where is Naba Khan located?

Naba Khan practices at 9924 Kennerly Rd, Saint Louis, MO 63128. The listed phone number is (314) 842-5858.

What is Naba Khan's specialty?

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

Is Naba Khan enrolled in Medicare?

Yes. Naba Khan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Naba Khan was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.