Individual provider Active NPI

Sasha Shammami Kashat, OD

  • Optometrist
  • Troy, MI
National Provider Identifier
1073180444
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005510 Issued in MI
Practice address
1301 Coolidge Hwy
Troy, MI 48084-7017
Phone
(248) 643-9880
NPI assigned
Jun 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005510 MI Primary

Addresses

Primary practice location

1301 Coolidge Hwy
Troy, MI 48084-7017

Mailing address

1617 W Houstonia Ave
Royal Oak, MI 48073-3993
Phone (248) 497-8636

Other practice location 1

29350 Southfield Rd
Southfield, MI 48076-2011
Phone (248) 647-9790

Other names 1

  • Sasha Shammami Former name

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
I20210715002662 MI Practitioner - Optometry 7113329954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2615 Orchard Lake Rd
Sylvan Lake, MI 48320-1538
Phone (248) 369-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pcor, LLC Optometrist CurrentSince Mar 25, 2022 Accepting new patients
Pcor LLC Optometrist CurrentSince Mar 25, 2022 Accepting new patients
Clarity Visions, PLLC Optometrist CurrentSince May 10, 2023 Accepting new patients

Locations

1961 S Telegraph Rd
Ste 101
Bloomfield Township, MI 48302
Phone (248) 972-2555

27903 23 Mile Rd
Chesterfield, MI 48051
Phone (586) 598-3935

33100 S Gratiot Ave
Clinton Twp, MI 48035
Phone (586) 294-0120

3271 Union Lake Rd
Commerce Twp, MI 48382
Phone (248) 360-0121

400 Renaissance Ctr
Ste 140
Detroit, MI 48243

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

22500 Haggerty Rd
Farmington Hills, MI 48335
Phone (248) 477-9300

4281 24th Ave
Fort Gratiot, MI 48059
Phone (810) 385-4000

15401 E Jefferson Ave
Grosse Pointe Park, MI 48230
Phone (313) 824-2401

1376 S Lapeer Rd
#A
Lake Orion, MI 48360
Phone (248) 693-3380

516 Highland Ave
Milford, MI 48381
Phone (248) 577-3616

504 N Telegraph Rd
Monroe, MI 48162
Phone (734) 243-2020

40895 Ann Arbor Rd E
Plymouth, MI 48170
Phone (734) 233-6300

110 E 2nd St
Royal Oak, MI 48067
Phone (248) 546-2110

2025 25 Mile Rd
Shelby Township, MI 48316
Phone (248) 651-3937

29350 Southfield Rd
Southfield, MI 48076
Phone (248) 569-9017

44987 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 247-5910

22395 Eureka Rd
Taylor, MI 48180
Phone (248) 661-5100

735 John R Rd
Ste 150
Troy, MI 48083
Phone (248) 588-9300

735 John R Rd
Troy, MI 48083
Phone (248) 544-3290

35184 Central City Pkwy
Westland, MI 48185
Phone (734) 427-5200

Interoperability endpoints

  • Direct secure messaging: skashat781233@direct.hfhs.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1073180444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 W HOUSTONIA AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733993",
            "telephone_number": "248-497-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 COOLIDGE HWY",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847017",
            "telephone_number": "248-643-9880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29350 Southfield Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480762011",
            "country_code": "US",
            "telephone_number": "248-647-9790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASHAT",
        "first_name": "SASHA",
        "middle_name": "SHAMMAMI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "SHAMMAMI",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.