Rebecca Revital Khalili, OD in Elmhurst, NY - Optometrist

Rebecca Revital Khalili, OD is a Optometrist based in Elmhurst, New York. Rebecca Revital Khalili is licensed to practice in New York (license number TUV008268-1) and her current practice location is 9141 Queens Blvd, Elmhurst, New York. She can be reached at her office (for appointments etc.) via phone at (210) 524-6922.

NPI number for Rebecca Revital Khalili is 1093197386 and her current mailing address is 8016 193rd St, Hollis, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093197386.

Contact Information

	Rebecca Revital Khalili, OD
	9141 Queens Blvd, Elmhurst, NY 11373-5531
	(210) 524-6922
	Not Available

Healthcare Provider's Profile

Full Name	Rebecca Revital Khalili
Gender	Female
Speciality	Optometrist
Location	9141 Queens Blvd, Elmhurst, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1093197386
Provider Enumeration Date: 06/23/2015
Last Update Date: 06/23/2015

Medical Identifiers

Medical identifiers for Rebecca Revital Khalili such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093197386	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	TUV008268-1 (New York)	Primary

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. Rebecca Revital Khalili is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Rebecca Revital Khalili, OD 8016 193rd St, Hollis, NY 11423-1046 Ph: () -	Rebecca Revital Khalili, OD 9141 Queens Blvd, Elmhurst, NY 11373-5531 Ph: (210) 524-6922

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Rebecca Revital Khalili, OD - Optometrist in Elmhurst, NY