Salim Kenetha

Primary specialty

OpticianTaxonomy code 156FX1800X

License

220452 Issued in MI

Practice address

2001 15 Mile Rd
Sterling Heights, MI 48310-4864

Phone

(586) 693-5060

Fax

(586) 693-5060

NPI assigned

Oct 2, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Salim Optical LLC

  • Ophthalmology Physician
  • Sterling Heights, MI
  • NPI 1518470855

  Eyewear Supplier

  NPD Authorized official
• Hakim Optical, LLC

  • Eyewear Supplier
  • Dearborn, MI
  • NPI 1518116185
  NPD (past)

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1164932489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104864",
            "telephone_number": "586-693-5060",
            "fax_number": "586-693-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104864",
            "telephone_number": "586-693-5060",
            "fax_number": "586-693-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENETHA",
        "first_name": "SALIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MI",
            "license": "220452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dajanee Kelly
• Jennifer Kelly
• Michael Kelly
• Danielle Lynn Kemmer
• Melissa Kemmer
• Debra Kenjorski, MA, LPC
• Ariane Kennedy
• Marisa Kennedy
• Kenneth a. Velick, DDS, PLC
• Kern Chiropractic PLLC

• Optician in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Optician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.