NABA RAZI KHAN (OD) – Optometrist, NPI 1114579554

NABA RAZI KHAN (OD) is a healthcare provider. based in Saint louis, Missouri. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 1890-826AT (LA). The NPI Number for NABA RAZI KHAN (OD) is 1114579554

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
NABA RAZI KHAN (OD)
NPI
1114579554
Phone
(314) 842-5858
Address
9924 KENNERLY RD
Enumeration Date
16 July 2019
Last Update Date
29 October 2020

Doctor Profile

Medical School Name
INTERNATIONAL AMERICAN UNIVERSITY AT PUERTO RICO - SCHOOL OF OPTOMETRY
Secondary Phone
3186865227
Graduation Year
2018 (8 years ago)
PAC ID
3173853553
Group Practice PAC ID
2365765658
Professional Enrollment ID
I20190927000776
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

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Provider Addresses for NABA RAZI KHAN (OD)

  • 9924, Kennerly Road, Concord, Saint Louis County, Missouri, 63128, United States

    SAINT LOUIS, MO 631282704

    Phone: (314) 842-5858

    Type: Location

  • 1301 COATES BLUFF DR APT 918

    SHREVEPORT, LA 711042859

    Phone: (214) 543-4019

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 63128)

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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: 2365765658View full group profile
NameSpecialtyState
O P T O M E T R YNV
O P T O M E T R YLA

Reviews

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Frequently asked questions

Is NABA RAZI KHAN (OD) listed with a National Provider Identifier?
Yes — NABA RAZI KHAN (OD) has NPI 1114579554 on file in the registry.
Active or inactive — what applies to NABA RAZI KHAN (OD)?
You should see NABA RAZI KHAN (OD) as active in CMS-hosted NPPES data.
What area of care is associated with NABA RAZI KHAN (OD)?
NABA RAZI KHAN (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with NABA RAZI KHAN (OD)?
Directory geography for NABA RAZI KHAN (OD) centers on Saint Louis, Missouri.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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