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JENNIFER J. SHABA O.D. P.L.L.C NPI 1124462452


NPI Information

NPI: 1124462452
Provider Name: JENNIFER J. SHABA O.D. P.L.L.C

Doing Business As: DRY EYE HEALING INSTITUTE

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 23D2243510

Address:
5600 W MAPLE RD STE A120
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 413-8030
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JENNIFER J. SHABA O.D. P.L.L.C is an optometrist in West Bloomfield, MI. The provider is 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. JENNIFER J. SHABA O.D. P.L.L.C NPI is 1124462452. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dry Eye Healing Institute.

The provider's business location address is:

5600 W MAPLE RD STE A120
WEST BLOOMFIELD, MI
ZIP 48322-782
Phone: (248) 413-8030

The provider's authorized official is Jennifer Shaba Yalldo .
The authorized official title is Optometrist and has the following contact phone number (585) 994-4499.

The CLIA number assigned to this NPI record is 23D2243510 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2013 and was last updated on 10/18/2021.


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
1152W00000XOptometrist4901004524MICHIGANYes

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: 4/28/2024

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