MEHAK KHAN (OD) – Optometrist, NPI 1104563857

MEHAK KHAN (OD) is a healthcare provider. based in Bradenton, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 6078 (FL). The NPI Number for MEHAK KHAN (OD) is 1104563857

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MEHAK KHAN (OD)
NPI
1104563857
Phone
(941) 721-0649
Address
5520 E State Road 64
Enumeration Date
15 May 2022
Last Update Date
15 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8632975400
Graduation Year
2022 (4 years ago)
PAC ID
0749630416
Group Practice PAC ID
0648172882
Professional Enrollment ID
I20231220003323
Address ID
FL338803919WI250XXSWXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

2,056 OPTOMETRY in FL

Provider Addresses for MEHAK KHAN (OD)

  • 5520 E State Road 64

    Bradenton, FL 342085526

    Phone: (941) 721-0649

    Type: Location

  • 5036 SUGAR BAY ST

    SEBRING, FL 338722116

    Phone: (863) 512-2474

    Type: Mailing

  • 250 AVENUE K SW STE 200

    WINTER HAVEN, FL 338803919

    Phone: (863) 297-5400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2024-09-28 • Largest payer in this snapshot: Horizon Therapeutics plc ($66).

Total Amount

$104

General + Research + Ownership

Payments

3

Total payment records

General Amount

$104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231220003323IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648172882View full group profile
NameSpecialtyState
-FL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

Is there an official ID for MEHAK KHAN (OD) in U.S. healthcare records?
The official identifier for MEHAK KHAN (OD) is NPI 1104563857.
Is there an active status for MEHAK KHAN (OD)?
For scheduling context, MEHAK KHAN (OD) is shown as active in the registry.
What clinical focus is listed for MEHAK KHAN (OD)?
At a glance, MEHAK KHAN (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MEHAK KHAN (OD)?
Travel planning: use Bradenton, Florida as the reference point for MEHAK KHAN (OD), then confirm.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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