Canton Eye Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CANTON EYE CENTER PLLC

Practice address

6750 Dacosta St
Dearborn Heights, MI 48127-2534

Phone

(313) 522-4481

Fax

(313) 454-4112

NPI assigned

Jul 9, 2022

Organization subpart

No

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

Authorized official

Name

Hassasn Saab, OD

Title

Owner

Phone

(313) 522-4481

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Hassan Saab, OD

  • Optometrist
  • Dearborn Heights, MI
  • NPI 1932847456
  Medicare reassignment

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1740914480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 DACOSTA ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272534",
            "telephone_number": "313-522-4481",
            "fax_number": "313-454-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 DACOSTA ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272534",
            "telephone_number": "313-522-4481",
            "fax_number": "313-454-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON EYE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-09",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "SAAB",
        "authorized_official_first_name": "HASSASN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-522-4481",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.