DR. TARIQ TAHIR KHRAISHI (NPI# 1205878634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205878634 |
| Entity Type | Individual |
| Full Name | DR. TARIQ TAHIR KHRAISHI |
| Credential | O.D. |
| Practice Address |
317 W Pacific Coast Hwy Ste B Wilmington CA 90744-2542 |
| Mailing Address |
1907 Dufour Ave Unit B Redondo Beach CA 90278-1307 |
| Practice Telephone | 4242645821 |
| Practice Fax Number | 4242645886 |
| Mailing Telephone | 3108649323 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 12311T | CA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16259 Paramount Blvd Ste B, Paramount, CA 907235425 | 4245296645 | 8009739178 |
| 12375 Central Ave Ste 125e, Chino, CA 917102624 | 9097032014 | 8664779096 |
| Street Address |
317 W PACIFIC COAST HWY STE B |
| City | WILMINGTON |
| State | CA |
| Zip Code | 90744-2542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043879000 | Dr. Terrry Khraishi Od Inc | Optometrist | 317 W Pacific Coast Hwy Ste B, Wilmington, CA 90744-2542 | 2019-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829441 | Kathleen Calderon | Technician | 1022 W. Robidoux St., Wilmington, CA 90744 | 2019-09-05 |
| 1083275838 | Jorge A Navarrete | Licensed Vocational Nurse | 117 E W Harry Bridges Blvd, Wilmington, CA 90744 | 2019-06-24 |
| 1457875528 | Sergio Manzo | Interpreter | 1131 Cary Ave, Wilmington, CA 90744 | 2017-08-01 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1982074662 | Tomoko Araki | Acupuncturist | 640 Broad Avenue, Wilmington, CA 90744 | 2015-10-07 |
| 1003202516 | West Pacific Pharmacy Inc | Pharmacy | 505 West Pacific Coast Hwy, Wilmington, CA 90744 | 2015-04-10 |
| 1053733543 | Sally Ammar | Physician Assistant | 714 Avalon Blvd, Wilmington, CA 90744 | 2014-01-17 |
| 1548432487 | Julia Chase Vander Ploeg | Chiropractor | 123 E. F Street, Wilmingtnon, CA 90744 | 2008-04-01 |
| 1679775829 | Elvis Baquero | Dentist | 1455 N Avalon Blvd, Wilmington, CA 90744 | 2007-06-01 |
| 1740495233 | Dr Leonardo Chacon, M.d. Inc | Point of Service | 1721 Wilmington Blvd, Wilmington, CA 90744 | 2007-05-10 |
| Find all providers in zip 90744 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720633209 | Primary Vision Care of Mount Vernon Inc | Optometrist | 2079 Rombach Ave, Wilmington, OH 45177-1996 | 2019-08-02 |
| 1114490232 | Daniel & Max, LLC | Optometrist | 317 S College Rd Ste 1, Wilmington, NC 28403-1885 | 2019-01-11 |
| 1104397959 | Toocheck Mobile De Opt LLC | Optometrist | 251 Little Falls Dr, Wilmington, DE 19808-1674 | 2018-12-05 |
| 1821481367 | Thomas Hufnal | Optometrist | 100 West 10th Street- Suite 115, Wilmington, DE 19899 | 2015-03-09 |
| 1417345745 | Kathleen Mary O'donnell | Optometrist | 4605 Kirkwood Hwy Ste A, Wilmington, DE 19808-5005 | 2015-01-09 |
| 1114320298 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 5619 Carolina Beach Rd Ste 110, Wilmington, NC 28412-2814 | 2014-10-02 |
| 1932501061 | Opticare Vision Centers, LLC | Optometrist | 151 W. Main St., Wilmington, OH 45177-2238 | 2014-09-19 |
| 1134520687 | Caroline Therese Peterson | Optometrist | 344 S College Rd, Wilmington, NC 28403-1632 | 2014-09-15 |
| 1427390533 | Halpern Eye Associates, P. A. | Optometrist | 4605 Kirkwood Hwy, Suite A, Wilmington, DE 19808-5005 | 2013-03-27 |
| 1487902334 | Carolina Vision Associates, Od, Pa | Optometrist | 5301 B Market St, Carolina Vison Associates, Od, Pa, Wilmington, NC 28405 | 2012-08-27 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 90744 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.