Individual provider Active NPI

Jessica Saraan, OD

  • Optometrist
  • Dearborn, MI
National Provider Identifier
1649758640
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005130 Issued in MI
Practice address
23469 Michigan Ave
Dearborn, MI 48124
Phone
(313) 565-5600
Fax
(313) 562-3000
NPI assigned
Aug 1, 2018
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2814 MD
Optometrist 152W00000X 4901005130 MI Primary
Optometrist 152W00000X 1559 NE

Addresses

Primary practice location

23469 Michigan Ave
Dearborn, MI 48124

Mailing address

23469 Michigan Ave
Dearborn, MI 48124-1908
Phone (313) 565-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, DC, MD, MN, FL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20180817002516 MI Practitioner - Optometry 2567711971 Reassigns benefits to 3 organizations
I20240813000697 DC Practitioner - Optometry 2567711971 Reassigns benefits to 2 organizations
I20240813000892 MD Practitioner - Optometry 2567711971 Reassigns benefits to 1 organization
I20240814002627 MN Practitioner - Optometry 2567711971 Reassigns benefits to 2 organizations
I20251110003855 FL Practitioner - Optometry 2567711971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

36 Maple St
Kearny, NJ 07032-1927

8990 N Davis Hwy
Pensacola, FL 32514-5305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3755MNMDChiropractor
TA2814MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jan 28, 2026 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince Aug 15, 2024 Accepting new patients
Visionworks, Inc Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince Aug 15, 2024 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Oct 31, 2025 Accepting new patients
Fortney Eyecare Associates Inc Optometrist CurrentSince Jul 11, 2018 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Oct 31, 2025 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Aug 15, 2024 Accepting new patients
Friendly Eyes Optometry LLC CurrentSince Nov 1, 2025 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Aug 15, 2024 Accepting new patients
Vision Pro II Inc Optometrist CurrentSince Aug 16, 2024 Accepting new patients
Hull & Williquette, LTD CurrentSince Oct 7, 2024 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations (25 of 36)

1808 W International Speedway Blvd
Ste 502
Daytona Beach, FL 32114
Phone (386) 255-1541

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

15431 Emerald Way
Bowie, MD 20716
Phone (301) 805-6132

6804 Race Track Rd
Bowie, MD 20715
Phone (301) 262-1210

19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200

10101 Colesville Rd
Silver Spring, MD 20901
Phone (301) 466-8439

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

65 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 342-0003

1761 M 139
Benton Harbor, MI 49022
Phone (269) 934-0424

755 E Chicago St
Coldwater, MI 49036
Phone (517) 278-9004

23469 Michigan Ave
Dearborn, MI 48124
Phone (313) 565-5600

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

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

855 Olds St
Jonesville, MI 49250
Phone (515) 849-2200

2067 S Drake Rd
Kalamazoo, MI 49006
Phone (269) 366-3664

5349 W Main St
Kalamazoo, MI 49009
Phone (269) 349-7627

5465 Gull Rd
Kalamazoo, MI 49048
Phone (269) 349-7631

3620 28th St SE
Kentwood, MI 49512
Phone (616) 512-0323

1421 S 11th St
Niles, MI 49120
Phone (269) 684-1330

6123 S Westnedge Ave
Portage, MI 49002
Phone (269) 327-7079

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

500 S Centerville Rd
Sturgis, MI 49091
Phone (269) 651-1958

23360 Eureka Rd
Taylor, MI 48180
Phone (734) 287-0024

22750 Allen Rd
Woodhaven, MI 48183
Phone (734) 676-4300

1178 Burnsville Ctr
#2036
Burnsville, MN 55306
Phone (952) 435-5011

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1649758640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23469 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241908",
            "telephone_number": "313-565-5600",
            "fax_number": "313-562-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23469 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-565-5600",
            "fax_number": "313-562-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARAAN",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2814",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005130",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.