Provider Demographics
NPI:1639301989
Name:KHATRI, AMI (OD)
Entity Type:Individual
Prefix:DR
First Name:AMI
Middle Name:
Last Name:KHATRI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:AMI
Other - Middle Name:
Other - Last Name:PARMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:4422 GIRL SCOUT LN
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-2450
Mailing Address - Country:US
Mailing Address - Phone:713-748-9979
Mailing Address - Fax:
Practice Address - Street 1:15900 LA CANTERA PKWY
Practice Address - Street 2:SUITE 6697
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78256-2422
Practice Address - Country:US
Practice Address - Phone:210-694-4110
Practice Address - Fax:210-694-4925
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002546152W00000X
TX7896T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist