Saira Nishath Khan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004366 Issued in MI

Practice address

28804 Gratiot Ave
Roseville, MI 48066-4235

Phone

(630) 276-6285

NPI assigned

Oct 2, 2006

Last updated

Jun 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• SVS Vision Inc

  • Optometrist
  • Mount Clemens, MI
  • NPI 1194879023
  Medicare reassignment NPD
• Saira Khan OD PLLC

  • Optometrist
  • Roseville, MI
  • NPI 1699374348
  NPD Authorized official
• SVS Vision Inc

  dba SVS Vision 94

  • Optometrist
  • Mt Pleasant, MI
  • NPI 1558246942
  NPD
• Luxottica Retail North America Inc

  dba Lenscrafters #05578

  • Eyewear Supplier
  • Midland, MI
  • NPI 1053457101
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1144314675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32406 FRANKLIN RD UNIT 250125",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480257004",
            "telephone_number": "630-276-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28804 GRATIOT AVE",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664235",
            "telephone_number": "630-276-6285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29176 Van Dyke Ave",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480936764",
            "country_code": "US",
            "telephone_number": "586-467-0264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAIRA",
        "middle_name": "NISHATH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02332",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010925",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7943352",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "900E03238",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Apostolos George Kerasiotis, D.P.T.
• Kerri S. Gustafson, DDS, PLLC, Dentistry for Children
• Keshinudan Inc. (Eastpointe Pharmacy)
• Quresh Khairullah, MD
• Mukhtar Ahmad Khan, MD
• Shahid Ali Khan, D.C.
• Kidney Consultants of Michigan PC
• Tiffany Ann Kilcline, COTAL
• Carolyn Kimble, LLPC
• Kristen Joy King, LMSW

• Optometrist in Roseville, MI
• Providers in Roseville, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.

Verify at the official NPI Registry.