Organization Active NPI

Saira Khan OD PLLC

  • Optometrist
  • Roseville, MI
National Provider Identifier
1699374348
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SAIRA KHAN OD PLLC
Practice address
28804 Gratiot Ave
Roseville, MI 48066-4235
Phone
(586) 777-3434
Fax
(586) 777-6815
NPI assigned
Oct 23, 2020
Organization subpart
Yes
Parent organization
SAIRA KHAN OD PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Authorized official

Name
Dr. Saira Nishath Khan, O.D.NPI 1144314675
Title
Optometrist
Phone
(630) 276-6285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

28804 Gratiot Ave
Roseville, MI 48066-4235

Mailing address

32406 Franklin Rd Unit 250125
Franklin, MI 48025-7004
Phone (630) 276-6285

Other practice location 1

29176 Van Dyke Ave
Warren, MI 48093-6764
Phone (586) 467-0264

National Provider Directory

National Provider Directory
Part of
Saira Khan OD PLLC

Locations

32406 Franklin Rd
Unit 250125
Franklin, MI 48025

29176 Van Dyke Ave
Warren, MI 48093
Phone (586) 467-0258

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1699374348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32406 FRANKLIN RD UNIT 250125",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480257004",
            "telephone_number": "630-276-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28804 GRATIOT AVE",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664235",
            "telephone_number": "586-777-3434",
            "fax_number": "586-777-6815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29176 Van Dyke Ave",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480936764",
            "country_code": "US",
            "telephone_number": "586-467-0264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAIRA KHAN OD PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAIRA KHAN OD PLLC",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAIRA",
        "authorized_official_middle_name": "NISHATH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "630-276-6285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.