DR. SURA HASSAN (NPI# 1043566318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043566318 |
| Entity Type | Individual |
| Full Name | DR. SURA HASSAN |
| Credential | OD |
| Practice Address |
4717 St. Antoine Kresge Eye Institute Detroit MI 48201-1423 |
| Mailing Address |
1560 E Maple Rd Suite 400-credentialing Troy MI 48083-1138 |
| Practice Telephone | 3135778900 |
| Practice Fax Number | 3135770700 |
| Mailing Telephone | 2485815976 |
| Mailing Fax Number | 2485815640 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2015-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004721 | MI | Eye and Vision Services Providers |
| Street Address |
4717 ST. ANTOINE KRESGE EYE INSTITUTE |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932185089 | Evan H Black | Ophthalmology | 4717 St. Antoine, Kresge Eye Institute, Detroit, MI 48201-1423 | 2005-12-21 |
| 1982880605 | Johnstone Minsok Kim | Ophthalmology | 4717 St. Antoine, Kresge Eye Institute, Detroit, MI 48201-1423 | 2008-01-11 |
| 1417150681 | Kamal Fahim | Ophthalmology | 4717 St. Antoine, Kresge Eye Institute, Detroit, MI 48201-1423 | 2007-06-06 |
| 1801955851 | John R. Suchomel | Ophthalmology | 4717 St. Antoine, Detroit, MI 48201-1423 | 2006-12-06 |
| 1235140377 | Ray S Dixon | Ophthalmology | 4717 St. Antoine, Kresge Eye Institute, Detroit, MI 48201-1423 | 2006-08-11 |
| 1982613642 | Allan Richard Rinke Jr. | Ophthalmology | 4717 St. Antoine, Kresge Eye Institute, Detroit, MI 48201-1423 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053936039 | Linda Le | Optometrist | 1301 Orleans St Apt 1705, Detroit, MI 48207-2996 | 2020-06-15 |
| 1689077471 | Eyes On Midtown, PC | Optometrist | 71 Garfield St, Detroit, MI 48201-1905 | 2014-10-07 |
| 1104268267 | Grace Meram | Optometrist | 1449 Woodward Ave, Detroit, MI 48226-2001 | 2013-07-17 |
| 1679883490 | City of Detroit | Optometrist | 3245 E Jefferson Ave # 100, Detroit, MI 48207-4222 | 2010-10-14 |
| 1053642397 | Heritage Optical Inc. | Optometrist | 2678 E Jefferson Ave, Detroit, MI 48207-4129 | 2010-01-27 |
| 1881808202 | Eye Care Optometry | Optometrist | 5825 W Fort St, Detroit, MI 48209-3156 | 2007-05-09 |
| 1649311697 | Dawn Caldwell | Optometrist | 87 Monroe St, Detroit, MI 48226-2855 | 2007-02-11 |
| 1639217722 | Jacquelyn Willilams-blakey | Optometrist | 71 Garfield St., Ste. 180, Detroit, MI 48201-1911 | 2007-02-02 |
| 1467598672 | Pearle Vision Inc | Optometrist | 16915 Livernois Ave, Detroit, MI 48221-3058 | 2007-01-29 |
| 1225174410 | Pearle Vision Inc | Optometrist | 333 E Jefferson Ave, Suite 297, Detroit, MI 48226-4352 | 2007-01-29 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.