Active NPI
Ali H. Nasrallah, OD
- Optometrist
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 00000000
- Practice address
- 5250 Auto Club Dr
Dearborn, MI 48126-2619 - Phone
- (313) 581-3888
- NPI assigned
- Aug 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 00000000 | MI | Primary |
Addresses
Primary practice location
5250 Auto Club Dr
Dearborn, MI 48126-2619
Mailing address
5250 Auto Club Dr
Dearborn, MI 48126-2619
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Youreyesdr@gmail.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
22361 W Village Dr
Suite 106
Dearborn, MI 48124-2227
Phone (313) 900-0090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000000 | MI | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alzohaili Medical Consultants MD PC | Current | Accepting new patients | |
| Premier Eye Center PLLC | Optometrist | Current | Accepting new patients |
Locations
5250 Auto Club Dr
Ste 200
Dearborn, MI 48126
Phone (313) 203-5300
22720 Michigan Ave
Ste 200
Dearborn, MI 48124
Phone (313) 791-3000
5220 Oakman Blvd
Dearborn, MI 48126
Phone (313) 203-5300
22361 W Village Dr
Ste 106
Dearborn, MI 48124
Phone (313) 244-4444
4160 John R St
Ste 510
Detroit, MI 48201
Phone (313) 993-7777
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IGJJCD/Endpoint/IGJJCD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Dearborn, MI
- NPI 1689979569
-
- Optometrist
- Dearborn, MI
- NPI 1710699939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1811509649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5250 AUTO CLUB DR",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 AUTO CLUB DR",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262619",
"telephone_number": "313-581-3888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASRALLAH",
"first_name": "ALI",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-21",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "00000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Youreyesdr@gmail.com",
"affiliation": "N",
"address_1": "5250 Auto Club Dr",
"city": "Dearborn",
"state": "MI",
"country_code": "US",
"postal_code": "481262619",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.