Organization Active NPI

Sasha Shammami, OD, PLLC

  • Optometrist
  • Troy, MI
National Provider Identifier
1164092490
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SASHA SHAMMAMI, OD, PLLC
Practice address
1301 Coolidge Hwy
Troy, MI 48084-7017
Phone
(248) 643-9880
NPI assigned
Jun 29, 2021
Organization subpart
Yes
Parent organization
LUXOTTICA RETAIL NORTH AMERICA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Sasha Shammami, OD
Title
Optometrist
Phone
(248) 497-8636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1301 Coolidge Hwy
Troy, MI 48084-7017

Mailing address

4679 Forestview Dr
West Bloomfield, MI 48322-4547
Phone (248) 497-8636

National Provider Directory

National Provider Directory
Part of
Jacobsen OD

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1164092490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4679 FORESTVIEW DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224547",
            "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": [],
    "basic": {
        "organization_name": "SASHA SHAMMAMI, OD, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUXOTTICA RETAIL NORTH AMERICA, INC.",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "SHAMMAMI",
        "authorized_official_first_name": "SASHA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "248-497-8636",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.