Individual provider Active NPI

Rahi Shah Sachdeva, OD

  • Optometrist
  • Oak Park, MI
National Provider Identifier
1114455144
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005047 Issued in MI
Practice address
23055 Coolidge Hwy
Oak Park, MI 48237-2071
Phone
(248) 399-1556
Fax
(248) 399-2789
NPI assigned
Jun 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005047 MI Primary

Addresses

Primary practice location

23055 Coolidge Hwy
Oak Park, MI 48237-2071

Mailing address

1825 S Park St
Kalamazoo, MI 49001-2762
Phone (269) 342-0003

Other names 1

  • Rahi Shah 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
I20170615001586 MI Practitioner - Optometry 7315215308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern Univ College of Dental Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cripe Holdings LLCGroup PAC ID 2365965621, 2 clinicians

Practice addresses (Care Compare)

1794 N Old US
23 Designs for Eyes
Howell, MI 48843-7193
Phone (810) 632-7444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005047MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cripe Holdings LLC CurrentSince Jan 16, 2025 Accepting new patients
Kat Stannis LLC CurrentSince Feb 20, 2024 Accepting new patients
RX Optical Laboratories, Inc. Optometrist PastSince Jan 5, 2018 Accepting new patients

Locations

1794 N Old US 23
Howell, MI 48843
Phone (810) 632-7444

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": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1114455144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 S PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012762",
            "telephone_number": "269-342-0003",
            "fax_number": "269-342-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23055 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372071",
            "telephone_number": "248-399-1556",
            "fax_number": "248-399-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHDEVA",
        "first_name": "RAHI",
        "middle_name": "SHAH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-04",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAHI",
            "last_name": "SHAH",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Park, MI

Sources for this page

Verify at the official NPI Registry.