Individual provider Active NPI

Tiansa Karana, OD

  • Optometrist
  • Livonia, MI
National Provider Identifier
1821530403
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005025 Issued in MI
Practice address
16128 Middlebelt Rd
Livonia, MI 48154-3338
Phone
(734) 421-2844
Fax
(734) 421-2878
NPI assigned
Nov 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005025 MI Primary

Addresses

Primary practice location

16128 Middlebelt Rd
Livonia, MI 48154-3338

Mailing address

118 Cass Ave
Mount Clemens, MI 48043-2204
Phone (586) 468-7370

Other identifiers 1

IdentifierTypeStateIssuer
1821530403MedicaidMI

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
I20161121000628 MI Practitioner - Optometry 7315226065 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005025MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Optical of Canton, LLC CurrentSince Jan 20, 2018 Accepting new patients
Canton Optique, LLC Optometrist CurrentSince Jan 26, 2020 Accepting new patients
Hearing Associates of Farmington Hills, PLLC Past Accepting new patients
Direct Optical of West Bloomfield LLC Optometrist PastSince Jun 5, 2022 Accepting new patients

Locations

41840 Ford Rd
Canton, MI 48187
Phone (734) 981-1760

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1821530403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CASS AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432204",
            "telephone_number": "586-468-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16128 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543338",
            "telephone_number": "734-421-2844",
            "fax_number": "734-421-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARANA",
        "first_name": "TIANSA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821530403",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.