Jennifer Shaba, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004524 Issued in MI

Practice address

5600 W Maple Rd Ste A120
West Bloomfield, MI 48322-3782

Phone

(248) 847-3372

Fax

(248) 243-8963

NPI assigned

Jul 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.shaba@gseye.direct.eyemdemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dry Eye Healing Institute

  • Optometrist
  • West Bloomfield, MI
  • NPI 1124462452
  Medicare reassignment NPD Authorized official
• 2020 Family Vision Novi

  • Corneal and Contact Management Optometrist
  • Novi, MI
  • NPI 1962042044
  NPD
• Daniel S Haddad, MD,PC

  • Ophthalmology Physician
  • Troy, MI
  • NPI 1720262488
  NPD (past)
• Mei Operations, PLLC

  • Ophthalmology Physician
  • Flint, MI
  • NPI 1316008774
  NPD (past)

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1508095464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD STE A120",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223782",
            "telephone_number": "248-847-3372",
            "fax_number": "248-243-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD STE A120",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223782",
            "telephone_number": "248-847-3372",
            "fax_number": "248-243-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABA",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seva Dental Michigan PC
• Seva Home Care LLC
• Seva Hospice LLC
• Paul Sevilla, PT, DPT
• Francine Lynn Sexton, LLPC
• Chanel Shadhaya
• Jaineem Shah
• Jaykumar Shah, AGACNP - BC
• Keerti Satish Shah, PHYSICAL THERAPIST
• Kevin Shah, PHARM.D

• Optometrist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.