Active NPI
Shaza Nizar Al-Holou, M.D.
- Pediatric Ophthalmology and Strabismus Specialist Physician
- West Bloomfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Ophthalmology and Strabismus Specialist Physician
- License
- 4301501807
- Practice address
- 7001 Orchard Lake Rd Ste 200
West Bloomfield, MI 48322-3606 - Phone
- (248) 538-7400
- Fax
- (248) 538-7403
- NPI assigned
- Apr 3, 2015
- Last updated
- Jul 22, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD466604 | PA | |
| Pediatric Ophthalmology and Strabismus Specialist Physician | 207WX0110X | 4301501807 | MI | Primary |
Addresses
Primary practice location
7001 Orchard Lake Rd Ste 200
West Bloomfield, MI 48322-3606
Mailing address
6689 Orchard Lake Rd # 297
West Bloomfield, MI 48322-3404
Phone (248) 254-8140
Other practice location 1
840 Walnut St Ste 1210
Philadelphia, PA 19107-5109
Phone (215) 928-3240
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Michigan Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7001 Orchard Lake Rd
Suite 200
West Bloomfield, MI 48322-3606
Phone (248) 538-7400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Eye Care PC | Ophthalmology | Current | Accepting new patients |
| Children's Eye Care PC | Ophthalmology | Current | Accepting new patients |
| Children's Eye Care, PC | Ophthalmology | Past | Accepting new patients |
Locations
42700 Garfield Rd
Ste 200
Clinton Twp, MI 48038
Phone (586) 532-3380
22731 Newman St
Ste 245
Dearborn, MI 48124
Phone (313) 561-1777
2355 Monroe St
Dearborn, MI 48124
Phone (313) 561-1777
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Dearborn, MI
- NPI 1922069806
-
- Ophthalmology Physician
- Detroit, MI
- NPI 1972874683
-
- Ophthalmology Physician
- West Bloomfield, MI
- NPI 1245490242
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1689069882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6689 ORCHARD LAKE RD # 297",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223404",
"telephone_number": "248-254-8140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 ORCHARD LAKE RD STE 200",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223606",
"telephone_number": "248-538-7400",
"fax_number": "248-538-7403"
}
],
"practiceLocations": [
{
"address_1": "840 Walnut St Ste 1210",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191075109",
"country_code": "US",
"telephone_number": "215-928-3240",
"fax_number": "215-928-3983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL-HOLOU",
"first_name": "SHAZA",
"middle_name": "NIZAR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-03",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD466604",
"primary": false
},
{
"code": "207WX0110X",
"taxonomy_group": "",
"desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
"state": "MI",
"license": "4301501807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.