Sasha Shammami, Od, PLLC
Optometrist in Troy, MI. Organization (NPI-2).
NPI number1164092490
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1164092490
- Entity type
- Organization (NPI-2)
- Legal business name
- Sasha Shammami, Od, PLLC
- Organization subpart
- Yes
- Enumeration date
- Jun 29, 2021
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
1301 Coolidge HwyTroy, MI 48084-7017
Phone 248-643-9880
Mailing address
4679 Forestview DrWest Bloomfield, MI 48322-4547
Phone 248-497-8636
Authorized official
Sasha Shammami
Optometrist
2484978636
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