Kaleel James Shaheen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3044T647 Issued in OH

Practice address

4555 Hills and Dales Rd NW
Canton, OH 44708-1507

Phone

(330) 478-8996

Fax

(330) 478-9987

NPI assigned

Jun 14, 2005

Reactivated

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hills and Dales Vision IncGroup PAC ID 6709919178, 3 clinicians

Practice addresses (Care Compare)

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.

• Hills & Dales Vision Inc

  • Optometrist
  • Canton, OH
  • NPI 1356547889
  Medicare reassignment Care Compare group NPD
• Northern Ohio Eye Consultants Inc

  • Optometrist
  • Lorain, OH
  • NPI 1629057716
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1215932652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 HILLS AND DALES RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081507",
            "telephone_number": "330-478-8996",
            "fax_number": "330-478-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 HILLS AND DALES RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081507",
            "telephone_number": "330-478-8996",
            "fax_number": "330-478-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "KALEEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2008-04-04",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3044T647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayushi Shah, MD
• Mohammed Sakil Ahmed Shah, MD
• Zaheer A Shah, MD
• Alex Shaheen, AT/ATC
• Heidi Ann Shaheen, MA CCC-SLP
• Kaleel James Shaheen II, O.D.
• Louis G Shaheen, M.D.
• Michael Kelly Shaheen, O.D.
• Edward Shalom, MD
• Shannon Shamsuzzoha

• Optometrist in Canton, OH
• Providers in Canton, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.