Active NPI
Alpa M. Desai, O.D.
- Optometrist
- Northville, MI
National Provider Identifier
1013267830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004737
- Practice address
- 17783 Haggerty Rd
Northville, MI 48168-9802 - Phone
- (248) 675-1875
- Fax
- (248) 449-4782
- NPI assigned
- Sep 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004737 | MI | Primary |
Addresses
Primary practice location
17783 Haggerty Rd
Northville, MI 48168-9802
Mailing address
1958 E Franklin Dr
Canton, MI 48187-2914
Phone (734) 255-0783
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004737 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black and White Look Optical Corporation | Optometrist | Current | Accepting new patients |
| Hearing Associates of Farmington Hills, PLLC | Past | Accepting new patients |
Locations
15675 W 10 Mile Rd
Southfield, MI 48075
Phone (248) 557-6444
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Southfield, MI
- NPI 1679660849
-
- Hearing Aid Equipment
- West Bloomfield, MI
- NPI 1821526088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1013267830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1958 E FRANKLIN DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481872914",
"telephone_number": "734-255-0783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17783 HAGGERTY RD",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481689802",
"telephone_number": "248-675-1875",
"fax_number": "248-449-4782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "ALPA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-19",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.