Individual provider Active NPI

Christina Naja Khalaf, OD

  • Optometrist
  • Canton, MI
National Provider Identifier
1811002223
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004148 Issued in MI
Practice address
39500 Ford Rd
Canton, MI 48187-4311
Phone
(734) 983-0556
Fax
(734) 983-0558
NPI assigned
Aug 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004148 MI Primary

Addresses

Primary practice location

39500 Ford Rd
Canton, MI 48187-4311

Mailing address

7110 Fox Chase LN
Westland, MI 48185-7671

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007001389 MI Practitioner - Optometry 5193917235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13700 Middlebelt Rd
Livonia, MI 48150-2215
Phone (734) 427-2944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004148MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Christina Khalaf Inc Optometrist CurrentSince Jun 18, 2010 Accepting new patients

Locations

39500 Ford Rd
Canton, MI 48187
Phone (734) 983-0548

13700 Middlebelt Rd
Livonia, MI 48150
Phone (734) 427-0563

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811002223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 FOX CHASE LN",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39500 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874311",
            "telephone_number": "734-983-0556",
            "fax_number": "734-983-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALAF",
        "first_name": "CHRISTINA",
        "middle_name": "NAJA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.