Active NPI
Saly Elias
- Optometrist
- Grand Blanc, MI
National Provider Identifier
1639637572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005190
- Practice address
- 6315 Dort Hwy
Grand Blanc, MI 48439-2704 - Phone
- (810) 579-0453
- NPI assigned
- Mar 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901005190 | MI | Primary |
Addresses
Primary practice location
6315 Dort Hwy
Grand Blanc, MI 48439-2704
Mailing address
11111 Thornridge Dr
Grand Blanc, MI 48439-8973
Phone (248) 312-9305
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
30660 W 12 Mile Rd
Farmington Hills, MI 48334-3808
Phone (248) 737-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America's Best Contacts & Eyeglasses | Past | Accepting new patients |
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.
-
- Optometrist
- Farmington Hills, MI
- NPI 1710517610
-
- Optician
- Grand Blanc, MI
- NPI 1073816989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1639637572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11111 THORNRIDGE DR",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398973",
"telephone_number": "248-312-9305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6315 DORT HWY",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392704",
"telephone_number": "810-579-0453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIAS",
"first_name": "SALY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-11",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.