Marzuka Khan Jalal, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004621 Issued in MI

Practice address

43271 Ford Rd
Canton, MI 48187-3340

Phone

(734) 981-8111

Fax

(734) 981-2327

NPI assigned

Dec 1, 2008

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Marzuka Khan Jalal OD PLLC

  dba Pearle Vision of Canton

  • Eyewear Supplier
  • Canton, MI
  • NPI 1801664255
  NPD Authorized official
• West Point Optical Group

  • Optometrist
  • Novi, MI
  • NPI 1831548890
  Medicare reassignment

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1659526846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43271 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873340",
            "telephone_number": "734-981-8111",
            "fax_number": "734-981-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43271 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873340",
            "telephone_number": "734-981-8111",
            "fax_number": "734-981-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN JALAL",
        "first_name": "MARZUKA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin L Ketter, PA-C
• Jazmine Nicholle Keyes
• Kaitlin Keys
• Christina Naja Khalaf, OD
• Nabil Khalek, PHARMD, MS
• Amy Sandhu Khan, RPH
• Bader Fatima Khan, MD
• Farah N Khan, DDS
• Hana Khan
• Hanif Ahmed Khan, MD

• Optometrist in Canton, MI
• Providers in Canton, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.