Organization Active NPI

Sandra Shina Hou OD PC

  • Optometrist
  • Troy, MI
National Provider Identifier
1902996358
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004170 Issued in MI
Legal business name
SANDRA SHINA HOU OD PC
Practice address
2001 W Maple Rd
Wal-Mart Vision Center
Troy, MI 48084-7100
Phone
(248) 435-4126
Fax
(248) 435-4162
NPI assigned
Oct 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sandra Shina Hou, ODNPI 1013007467
Title
President
Phone
(248) 852-0445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901004170 MI Primary

Addresses

Primary practice location

2001 W Maple Rd
Wal-Mart Vision Center
Troy, MI 48084-7100

Mailing address

2059 Cattail Circle
Rochester Hills, MI 48309-3820
Phone (248) 852-0445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180524001234 MI Part B Supplier - Clinic/Group Practice 1951666866 Receives reassigned benefits from 1 practitioner
Practice locations: Shelby Township, MI; Troy, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902996358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 CATTAIL CIRCLE",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093820",
            "telephone_number": "248-852-0445",
            "fax_number": "248-852-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W MAPLE RD",
            "address_2": "WAL-MART VISION CENTER",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847100",
            "telephone_number": "248-435-4126",
            "fax_number": "248-435-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA SHINA HOU OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOU",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "SHINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-852-0445",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.