Individual provider Active NPI

Maneek Kaur Sandhu, O.D.

  • Optometrist
  • Ann Arbor, MI
National Provider Identifier
1083920219
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004578 Issued in MI
Practice address
654 Briarwood Cir
Briarwood Mall Ste #D128
Ann Arbor, MI 48108-1612
Phone
(734) 761-8300
NPI assigned
Aug 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004578 MI Primary

Addresses

Primary practice location

654 Briarwood Cir
Briarwood Mall Ste #D128
Ann Arbor, MI 48108-1612

Mailing address

611 Highlands Dr
Canton, MI 48188-3075
Phone (734) 983-0028

Other names 1

  • Maneek Kaur Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004578MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Canton Optique, LLC Optometrist CurrentSince Jan 26, 2020 Accepting new patients
Hearing Associates of Farmington Hills, PLLC Past Accepting new patients

Locations

41840 Ford Rd
Canton, MI 48187
Phone (734) 981-1760

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.

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1083920219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 HIGHLANDS DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883075",
            "telephone_number": "734-983-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 BRIARWOOD CIR",
            "address_2": "BRIARWOOD MALL STE #D128",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081612",
            "telephone_number": "734-761-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "MANEEK",
        "middle_name": "KAUR",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANEEK",
            "last_name": "KAUR",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.