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DR. TARIQ TAHIR KHRAISHI O.D.
NPI 1205878634
Optometrist in Wilmington, CA

Active since June 11, 2006PECOS Enrolled
317 W PACIFIC COAST HWY STE B, WILMINGTON, CA 90744(424) 264-5821(424) 264-5886 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 10, 2020, May 31, 2019 (2 updates tracked since 2019).

About Dr. Tariq Tahir Khraishi O.d. NPPES

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

DR. TARIQ TAHIR KHRAISHI O.D. (NPI 1205878634) is an individual optometrist in Wilmington, California, licensed in California (12311T) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205878634
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TARIQ TAHIR KHRAISHICredential: O.D.
Location Address317 W PACIFIC COAST HWY STE BWilmington, CA 90744-2542
Mailing Address1907 Dufour Ave Unit BRedondo Beach, CA 90278-1307 · (310) 864-9323
Phone(424) 264-5821
Fax(424) 264-5886
Sole ProprietorYes
Enumeration DateJune 11, 2006
Last NPPES UpdateApril 10, 20202 updates tracked since enumeration
NPPES CertifiedApril 10, 2020
✔ NPI 1205878634 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 CA · 12311T
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.
317 W PACIFIC COAST HWY STE B, Wilmington, CA 90744
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Secondary Practice Locations 2

Location 116259 Paramount Blvd Ste BParamount, CA 90723-5425 · Phone (424) 529-6645 · Fax (800) 973-9178
Location 212375 Central Ave Ste 125EChino, CA 91710-2624 · Phone (909) 703-2014 · Fax (866) 477-9096

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tariq Tahir Khraishi O.d. 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 90744 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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

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

DR. TERRRY KHRAISHI OD INC
Optometrist
317 W PACIFIC COAST HWY STE B
WILMINGTON, CA 90744
Los Angeles County (424) 264-5821

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 Tariq Khraishi's NPI number?

The NPI number for Tariq Khraishi is 1205878634. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Tariq Khraishi located?

Tariq Khraishi practices at 317 W Pacific Coast Hwy Ste B, Wilmington, CA 90744. The listed phone number is (424) 264-5821.

What is Tariq Khraishi's specialty?

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

Is Tariq Khraishi enrolled in Medicare?

Yes. Tariq Khraishi is registered in the Medicare PECOS enrollment system.

What insurance does Tariq Khraishi accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Tariq Khraishi 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 Tariq Khraishi was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.