Mariam Chaudry, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004897 Issued in MI

Practice address

11445 15 Mile Rd
Sterling Heights, MI 48312-3809

Phone

(586) 268-5804

NPI assigned

Jul 8, 2015

Last updated

Sep 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Macomb Vision Clinic, Inc.

  • Optometrist
  • Sterling Heights, MI
  • NPI 1861534927
  NPD (past)
• MVC Acquisition of Sterling Heights PLC

  dba Macomb Vision Clinic

  • Optometrist
  • Sterling Heights, MI
  • NPI 1902247208
  NPD (past)

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1841673845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11445 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11445 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123809",
            "telephone_number": "586-268-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDRY",
        "first_name": "MARIAM",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Skardarasy, MD, PC
• Kyla Marie Chase, OTR/L
• Jomah Aiman Chatle
• Soumen Chatterjee, PT
• Vivek Rameshbhai Chaudhari, MD
• Ana Chauvin
• Marialvi Chavez
• David Chears
• Checkisaurus LLC (MONA Health)
• Sarah Chehab

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.