Individual provider Active NPI

Manijeh Shafiemir, OD

  • Optometrist
  • Brighton, MI
National Provider Identifier
1225020043
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003851 Issued in MI
Practice address
205 W Grand River Ave
Brighton, MI 48116-1659
Phone
(248) 220-4499
NPI assigned
Aug 17, 2005
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003851 MI Primary
Optometrist 152W00000X TA1931 MD

Addresses

Primary practice location

205 W Grand River Ave
Brighton, MI 48116-1659

Mailing address

39799 Golfview Dr
Northville, MI 48167-3971
Phone (248) 380-8178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20151021002836 MI Practitioner - Optometry 8527377100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

10798 Belleville Rd
Van Buren TWP, MI 48111-1308
Phone (734) 697-6671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA1931MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince Jul 28, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince Jul 28, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients
Black and White Look Optical Corporation Optometrist CurrentSince Dec 29, 2018 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist PastSince Mar 4, 2021 Accepting new patients

Locations

205 W Grand River Ave
Ste 100
Brighton, MI 48116
Phone (810) 220-4499

1617 N West Ave
Jackson, MI 49202
Phone (517) 780-3828

800 S Brown St
Jackson, MI 49203
Phone (517) 787-8890

29474 7 Mile Rd
Livonia, MI 48152
Phone (248) 615-2815

44429 Ann Arbor Rd W
Plymouth, MI 48170
Phone (734) 416-0348

48873 Hayes Rd
Shelby Township, MI 48315
Phone (586) 247-2121

15675 W 10 Mile Rd
Southfield, MI 48075
Phone (248) 557-6444

10798 Belleville Rd
Van Buren Township, MI 48111
Phone (734) 697-6671

3101 Biddle Ave
Wyandotte, MI 48192
Phone (734) 282-5030

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1225020043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39799 GOLFVIEW DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481673971",
            "telephone_number": "248-380-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161659",
            "telephone_number": "248-220-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFIEMIR",
        "first_name": "MANIJEH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003851",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.