SHAMEEM BANU KHAN O.D.
NPI 1669523734
Optometrist in Chino, CA

Q: What is Shameem Khan's NPI number?

The NPI number for Shameem Khan is 1669523734. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Q: What is Shameem Khan'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 Shameem Khan was last updated on January 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 January 16, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2163028 · Waiver

13768 ROSWELL AVE STE 208, CHINO, CA 91710(909) 627-2020(909) 627-2021 Get Directions Write a Review

NPPES record last updated: January 29, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Shameem Banu Khan O.d. NPPES

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

SHAMEEM BANU KHAN O.D. (NPI 1669523734) is an individual optometrist in Chino, California, licensed in California (10458) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 5, 2027, and is a graduate of Southern California College Of Optometry (1994).

NPPES Registry Identity

NPI1669523734

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameSHAMEEM BANU KHANCredential: O.D.

Location Address13768 ROSWELL AVE STE 208Chino, CA 91710-1405

Mailing Address13768 Roswell Ave Ste 208Chino, CA 91710-1405 · (909) 627-2020 · Fax (909) 627-2021

Phone(909) 627-2020

Fax(909) 627-2021

Sole ProprietorNo

Medical School CMSSouthern California College Of OptometryGraduated 1994

Enumeration DateJanuary 16, 2007

Last NPPES UpdateJanuary 29, 2015

✔ NPI 1669523734 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 · 10458

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.

13768 ROSWELL AVE STE 208, Chino, CA 91710

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Other Identifiers 1

Medicare UPINU51710CA

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 and accepts Medicare assignment

Shameem Banu Khan 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 ID6800857301

PECOS Enrollment IDI20041019000620

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2163028

Dr Shameem Khan Optometrist Inc · Chino, CA

Active · expires Mar 5, 2027

CLIA Number05D2163028

Laboratory TypePhysician Office

Certificate Effective DateMarch 6, 2025

Certificate Expiration DateMarch 5, 2027

Laboratory DirectorShameem B. Khan

Laboratory Phone(909) 627-2020

Laboratory LocationDr Shameem Khan Optometrist Inc13768 Roswell Avenue, Suite 208, Chino, CA 91710

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services12 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91710 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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 2

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

JUST FOOD & FITNESS

Dietitian, Registered (Nutrition, Metabolic)

13768 ROSWELL AVE STE 208
CHINO, CA 91710

San Bernardino County (909) 576-7579

DR SHAMEEM KHAN OPTOMETRIST INC

Optometrist

13768 ROSWELL AVE STE 208
CHINO, CA 91710

San Bernardino County (909) 627-2020

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 Shameem Khan's NPI number?

The NPI number for Shameem Khan is 1669523734. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Shameem Khan located?

Shameem Khan practices at 13768 Roswell Ave Ste 208, Chino, CA 91710. The listed phone number is (909) 627-2020.

What is Shameem Khan's specialty?

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

Is Shameem Khan enrolled in Medicare?

Yes. Shameem Khan 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.

Does Shameem Khan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2163028) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shameem Khan 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 Shameem Khan 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 Shameem Khan was last updated on January 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.