Shameem Banu Khan, OD - Medicare Optometrist in Chino, CA

Shameem Banu Khan, OD is a medicare enrolled "Optometrist" provider in Chino, California. She went to Southern California College Of Optometry and graduated in 1994 and has 30 years of diverse experience with area of expertise as Optometry. Her current practice location is 13768 Roswell Ave Ste 208, Chino, California. You can reach out to her office (for appointments etc.) via phone at (909) 627-2020.

Shameem Banu Khan is licensed to practice in California (license number 10458) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669523734.

Contact Information

Shameem Banu Khan, OD
13768 Roswell Ave Ste 208,
Chino, CA 91710-1405
(909) 627-2020
(909) 627-2021

Map and Direction




Healthcare Provider's Profile

Full NameShameem Banu Khan
GenderFemale
SpecialityOptometry
Experience30 Years
Location13768 Roswell Ave Ste 208, Chino, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shameem Banu Khan attended and graduated from Southern California College Of Optometry in 1994
  NPI Data:
  • NPI Number: 1669523734
  • Provider Enumeration Date: 01/16/2007
  • Last Update Date: 01/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6800857301
  • Enrollment ID: I20041019000620

Medical Identifiers

Medical identifiers for Shameem Banu Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669523734NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 10458 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shameem Banu Khan allows following entities to bill medicare on her behalf.
Provider NameDr Shameem Khan Optometrist Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1912205816
PECOS PAC ID: 8628252459
Enrollment ID: O20110401000841

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shameem Banu Khan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shameem Banu Khan, OD
13768 Roswell Ave Ste 208,
Chino, CA 91710-1405

Ph: (909) 627-2020
Shameem Banu Khan, OD
13768 Roswell Ave Ste 208,
Chino, CA 91710-1405

Ph: (909) 627-2020

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.