Individual provider Active NPI

Ali Makled, OD

  • Optometrist
  • Westland, MI
National Provider Identifier
1376388033
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005761 Issued in MI
Practice address
35184 Central City Pkwy
Westland, MI 48185-6215
Phone
(734) 427-5200
NPI assigned
Jun 26, 2024
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005761 MI Primary

Addresses

Primary practice location

35184 Central City Pkwy
Westland, MI 48185-6215

Mailing address

5870 Golfview Dr
Dearborn Heights, MI 48127-2483

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
I20240725000618 MI Practitioner - Optometry 5597201681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P-Cor LLCGroup PAC ID 9931194149, 81 clinicians

Practice addresses (Care Compare)

735 John R Rd
Suite 150
Troy, MI 48083-5859
Phone (248) 951-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pcor LLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Pcor, LLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients

Locations

33100 S Gratiot Ave
Clinton Twp, MI 48035
Phone (586) 294-0120

735 John R Rd
Ste 150
Troy, MI 48083
Phone (248) 588-9300

35184 Central City Pkwy
Westland, MI 48185
Phone (734) 427-5200

Interoperability endpoints

  • Direct secure messaging: amakled@optimeyes.emadirect.md
  • Direct secure messaging: amakled1014804@direct.hfhs.org

Organizations & group practices 2

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": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1376388033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 GOLFVIEW DR",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35184 CENTRAL CITY PKWY",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481856215",
            "telephone_number": "734-427-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKLED",
        "first_name": "ALI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.