Active NPI
Yousif Tokatly, OD
- Optometrist
- West Bloomfield, MI
National Provider Identifier
1851932693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005421
- Practice address
- 6667 Orchard Lake Rd Ste B200
West Bloomfield, MI 48322-3404 - Phone
- (248) 862-9670
- NPI assigned
- Oct 2, 2019
- 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 | 4901005421 | MI | Primary |
Addresses
Primary practice location
6667 Orchard Lake Rd Ste B200
West Bloomfield, MI 48322-3404
Mailing address
30320 Stratford CT
Farmington Hills, MI 48331-1608
Phone (248) 978-8653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005421 | MI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1851932693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30320 STRATFORD CT",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483311608",
"telephone_number": "248-978-8653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6667 ORCHARD LAKE RD STE B200",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223404",
"telephone_number": "248-862-9670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOKATLY",
"first_name": "YOUSIF",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-02",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.