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NICHOLAS DAVID SHOKOOHI M.D. NPI 1295180214


NPI Information

NPI: 1295180214
Provider Name: NICHOLAS DAVID SHOKOOHI, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Organization: GREAT LAKES EYE INSTITUTE

PECOS Registration: Yes

Address:
2393 SCHUST RD
SAGINAW, MI
ZIP 48603
Phone: (989) 793-2820
Get Directions

Nicholas David Shokoohi, M.D. is an ophthalmology in Saginaw, MI with 8 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Nicholas David Shokoohi, M.D. NPI is 1295180214. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

2393 SCHUST RD
SAGINAW, MI
ZIP 48603-334
Phone: (989) 793-2820
Fax: (989) 755-1463

The NPI 1295180214 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/27/2016 and was last updated on 10/12/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology4301502033MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1FS9601445OTHERMICHIGANDEA LICENSE
24301502033OTHERMICHIGANPHYSICIAN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.