Organization
KKOPTOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHUSSBU SHAH OD (OPTOMETRIST)
(727) 452-8399
Entity
Organization
Contact information
Practice address
3108 N BOUNDARY BLVD, TAMPA, FL 33621-5050
(813) 840-1161
Mailing address
2511 N GRADY AVE UNIT 36, TAMPA, FL 33607-2689
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
12/08/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us