Michigan Eye Clinic PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004300 Issued in MI

Legal business name

MICHIGAN EYE CLINIC PC

Practice address

6706 Kennesaw Rd
Canton, MI 48187-1281

Phone

(313) 707-6667

Fax

(734) 667-3117

NPI assigned

Jul 21, 2011

Last updated

Oct 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ali H Fakih, DONPI 1881602704

Title

Owner

Phone

(734) 718-0411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ali H Fakih, O.D.

  • Optometrist
  • Allen Park, MI
  • NPI 1881602704
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1740578947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6706 KENNESAW RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871281",
            "telephone_number": "313-707-6667",
            "fax_number": "734-667-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6706 KENNESAW RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871281",
            "telephone_number": "313-707-6667",
            "fax_number": "734-667-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN EYE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "FAKIH",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-718-0411",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.