EXCEL INSTITUTE OF SHELBY PC (NPI# 1205151503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205151503 |
| Entity Type | Organization |
| Organization Name | EXCEL INSTITUTE OF SHELBY PC |
| Practice Address |
48189 Van Dyke Shelby Township MI 48317 |
| Practice Telephone | 5867319725 |
| Practice Fax Number | 5867390083 |
| Mailing Telephone | 5867319725 |
| Mailing Fax Number | 5867390083 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2018-09-07 |
| Authorized Official Name | DANNA HABA (OWNER) |
| Authorized Official Telephone | 5867319725 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
Eye and Vision Services Providers | ||
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
Eye and Vision Services Providers | ||
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
Eye and Vision Services Providers | ||
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
Eye and Vision Services Providers |
| Street Address |
48189 VAN DYKE |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329686 | Jasmine Withers | Driver | 45835 Brownell St, Apt 9, Utica, MI 48317 | 2020-03-02 |
| 1942851670 | Kn Mental Health Services LLC | Social Worker | 1111 Hall Road, Utica, MI 48317 | 2019-09-24 |
| 1710461421 | Pureland Physical Therapy | Physical Medicine & Rehabilitation | 45555 Mound Rd, Shelby Twp, MI 48317 | 2018-09-18 |
| 1417433566 | Stephanie Marie Renner | Occupational Therapist | Regency At Shelby, 7401 22 Mile Road, Shelby Charter Township, MI 48317 | 2018-07-12 |
| 1437645959 | Jonathan G Deck | Physician Assistant | 46961 Vandyke Ave, Sheby Township, MI 48317 | 2018-07-09 |
| 1013407261 | Meredith Ann Schramski | Physician Assistant | 46961 Van Dyke Ave, Shelby Township, MI 48317 | 2018-05-14 |
| 1114446184 | Patrick Michael Roberts | Physician Assistant | 50149 Hedgeway Dr, Shelby Twp, MI 48317 | 2017-09-11 |
| 1427571702 | Boby Philip Manalel | Physical Therapist | 11150 Nature Way, Shelby Twp, MI 48317 | 2017-07-19 |
| 1285155119 | Shelby Urgent Care Walk-in Clinic | Family Medicine | 46965 Van Dyke Ave, Shelby Twp, MI 48317 | 2017-06-30 |
| 1942650718 | Samantha Parison | Technician, Other | 47980 Shelby Road, Shelby Township, MI 48317 | 2016-06-13 |
| Find all providers in zip 48317 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427585801 | Frye's New Look Optical | Optometrist | 12897 Woodward Ave, Highland Park, MI 48203-3315 | 2017-05-17 |
| 1548628415 | Academy of Vision Development, Pllc | Optometrist | 6617 Crossings Dr Se, Suite 102, Grand Rapids, MI 49508-7378 | 2016-02-05 |
| 1548675242 | Davich Midwest Inc | Optometrist | 2825 28th St Se, Grand Rapids, MI 49512-1607 | 2014-06-22 |
| 1063844108 | Tuan Tran | Optometrist | 19700 14 Mile Rd, C306, Big Rapids, MI 49307-8757 | 2013-07-31 |
| 1932300928 | Vision Associates of Westland | Optometrist | 38979 Cherry Hill Rd., Suite B, Westland, MI 48186 | 2007-05-29 |
| 1437212560 | John Paul Jacobi | Optometrist | 32415 5 Mile Rd, Livonia, MI 48154-3039 | 2006-12-19 |
| 1174590285 | Randy Gerard Houdek | Optometrist | 38979 Cherry Hill Rd, Suite B, Westland, MI 48186-3250 | 2006-03-07 |
| 1285293738 | G Stephanie Enriquez Od Pllc | Optometrist | 4091 Richfield Rd, Flint, MI 48506-2033 | 2019-06-09 |
| 1801383260 | Vision Therapy Institute of Mi, LLC | Optometrist | 330 W Lake Lansing Rd, East Lansing, MI 48823-8527 | 2018-04-20 |
| 1891247813 | Gr Davich Inc | Optometrist | 2825 28th St Se, Suite B, Grand Rapids, MI 49512-1607 | 2016-10-25 |
| Find all providers with the same taxonomy | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48317 |
Please comment or provide details below to improve the information on EXCEL INSTITUTE OF SHELBY PC.
| 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.