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

Q: 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.

Q: What is Tariq Khraishi's specialty?

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

Q: 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.

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: November 08, 2026.

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

On this page

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

Open in Google Maps ↗

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 Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Tariq Khraishi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr. Terrry Khraishi Od Inc

Same address

Optometrist

317 W PACIFIC COAST HWY STE B
Wilmington, CA 90744

Reassigned Medicare billing, California enrollment

NPI 1043879000 (424) 264-5821

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 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.

Which organization bills Medicare for Tariq Khraishi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tariq Khraishi reassigns Medicare benefits to Dr. Terrry Khraishi Od Inc (Wilmington, CA). The 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 Tariq Khraishi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tariq Khraishi accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, 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 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.