Sharp Image Optical Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SHARP IMAGE OPTICAL INC.

Practice address

19335 Allen Rd
Brownstown TWP, MI 48183-1003

Phone

(734) 479-5585

Fax

(734) 479-5586

NPI assigned

Jan 14, 2008

Last updated

Jan 10, 2013By 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

Kamal Gupta, M.D.NPI 1164415105

Title

Owner

Phone

(734) 479-5585

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Kamal A Gupta, MD

  • Ophthalmology Physician
  • Brownstown TWP, MI
  • NPI 1164415105
  NPD (past) Authorized official

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1255517843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19335 ALLEN RD",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831003",
            "telephone_number": "734-479-5585",
            "fax_number": "734-479-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19335 ALLEN RD",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831003",
            "telephone_number": "734-479-5585",
            "fax_number": "734-479-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP IMAGE OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-479-5585",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felix J Rogers, DO
• Joseph C. Rogers, D.O.
• Elisa Maria Rosario Rodriguez, MD
• Sami Abbasi DO PLLC (Downriver Dermatology Center)
• Stephanie Sancen Merritt, FNP-C
• Kinnari Sheth, P.T.
• Raleigh Brooke Shimrack, SLP-CCC
• Susan Kay Small, LMSW
• Cheryl L Smith, D.O.
• Brandi Snyder

• Durable Medical Equipment & Medical Supplies in Brownstown TWP, MI
• Providers in Brownstown TWP, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.