Individual provider Active NPI

Farah Hamade, OD

  • Optometrist
  • Farmington, MI
National Provider Identifier
1164045159
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005516 Issued in MI
Practice address
37085 Grand River Ave Ste D
Farmington, MI 48335-2830
Phone
(248) 477-1616
NPI assigned
May 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.6869 OH
Optometrist 152W00000X 4901005516 MI Primary

Addresses

Primary practice location

37085 Grand River Ave Ste D
Farmington, MI 48335-2830

Mailing address

37085 Grand River Ave Ste D
Farmington, MI 48335-2830
Phone (248) 477-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211109000512 MI Practitioner - Optometry 3476966912 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005516MIMDOptometrist
OPT.6869OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Eye and Vision Care, LLC Optometrist CurrentSince Jan 3, 2022 Accepting new patients
Robert J. Dittoe, O.D., Inc. Optometrist Past Accepting new patients

Locations

8273 Grand River Rd
Ste 120
Brighton, MI 48114
Phone (810) 227-5640

37085 Grand River Ave
Ste D
Farmington, MI 48335
Phone (248) 477-1616

1191 Byron Rd
Howell, MI 48843
Phone (517) 546-4655

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": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1164045159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37085 GRAND RIVER AVE STE D",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483352830",
            "telephone_number": "248-477-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37085 GRAND RIVER AVE STE D",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483352830",
            "telephone_number": "248-477-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMADE",
        "first_name": "FARAH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-25",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.6869",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

Verify at the official NPI Registry.