Individual provider Active NPI

Sandra Shina Hou, OD

  • Optometrist
  • Troy, MI
National Provider Identifier
1013007467
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004170 Issued in MI
Practice address
2001 W Maple Rd
Wal Mart Vision Center
Troy, MI 48084-7100
Phone
(248) 435-4126
Fax
(248) 435-4162
NPI assigned
Oct 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004170 MI Primary

Addresses

Primary practice location

2001 W Maple Rd
Wal Mart Vision Center
Troy, MI 48084-7100

Mailing address

2059 Cattail Circle
Rochester Hills, MI 48309-3820
Phone (248) 852-0445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803001443 MI Practitioner - Optometry 5890766877 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sandra Shina Hou OD PC Optometrist CurrentSince Mar 25, 2018 Accepting new patients
Wce, LLC Optometrist Past Accepting new patients
Wce, LLC Past Accepting new patients

Locations

51450 Shelby Pkwy
Shelby Township, MI 48315
Phone (586) 997-0658

2001 W Maple Rd
Troy, MI 48084
Phone (248) 435-4126

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013007467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 CATTAIL CIRCLE",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093820",
            "telephone_number": "248-852-0445",
            "fax_number": "248-852-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W MAPLE RD",
            "address_2": "WAL MART VISION CENTER",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847100",
            "telephone_number": "248-435-4126",
            "fax_number": "248-435-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOU",
        "first_name": "SANDRA",
        "middle_name": "SHINA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.