Excel Institute of Shelby PC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

Legal business name

EXCEL INSTITUTE OF SHELBY PC

Practice address

48189 Van Dyke
Shelby Township, MI 48317

Phone

(586) 731-9725

Fax

(586) 739-0083

NPI assigned

Mar 30, 2010

Last updated

May 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danna Haba, DONPI 1205881869

Title

Owner

Phone

(586) 731-9725

Specialties & licenses 5

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danna Haba, OD, FCOVD

  • Occupational Vision Optometrist
  • Shelby Township, MI
  • NPI 1205881869
  Authorized official Same address or phone
• Tiffany Clare Sinovic, MS, OTR/L

  • Occupational Therapist
  • Fairview Heights, IL
  • NPI 1396054987

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1205151503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48189 VAN DYKE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "48317",
            "telephone_number": "586-731-9725",
            "fax_number": "586-739-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48189 VAN DYKE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "48317",
            "telephone_number": "586-731-9725",
            "fax_number": "586-739-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL INSTITUTE OF SHELBY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "HABA",
        "authorized_official_first_name": "DANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-731-9725",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Elmousawi
• Jillian Therese Eng, OTR/L, CBIS
• Erich T. Howard (AP Specialty Medications LLC)
• Sheryl M Essenmacher, LMSW
• Kristina Eubanks, LLPC
• Extra Dental PC
• Eyeglass World
• Faddi Salim DDS PLLC
• Fadi Assaf DDS V PLLC
• Kirsten J Fanelli, DMD

• Vision Therapy Optometrist in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Vision Therapy Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.