Evileen Khoshaba

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005937 Issued in MI

Practice address

5968 Majestic Oaks Dr
Commerce Township, MI 48382-5118

Phone

(248) 747-1210

NPI assigned

Jun 15, 2026

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

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.

Specialty

Optometry

Education

Other, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1992630685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5968 MAJESTIC OAKS DR",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483825118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5968 MAJESTIC OAKS DR",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483825118",
            "telephone_number": "248-747-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSHABA",
        "first_name": "EVILEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cade McAllister Kelleher, DO
• Lourice Kenien-Rafols, MD
• Aaron Kennedy, MD
• Erica Kerney, OD
• Abraham Khanafer, DDS
• Taylor Cassidy Killgrove, OTD, OTRL
• Kirk E Gold DPM PC
• Knouna Outreach Ministry Church
• Jocelyn Kohl
• Ralph Kontry, D.O.

• Optometrist in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.

Verify at the official NPI Registry.