DR. DIANE SHAHARA JAMOUA (NPI# 1740620376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740620376 |
| Entity Type | Individual |
| Full Name | DR. DIANE SHAHARA JAMOUA |
| Credential | O.D. |
| Practice Address |
735 John R Rd Troy MI 48083-5856 |
| Practice Telephone | 2485443290 |
| Practice Fax Number | 2485284040 |
| Mailing Telephone | 2485443290 |
| Mailing Fax Number | 2485284040 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2018-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004760 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1740620376 | 05 |
| Street Address |
735 JOHN R RD |
| City | TROY |
| State | MI |
| Zip Code | 48083-5856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720003866 | Larry Olson | Optometrist | 735 John R Rd, Troy, MI 48083-5856 | 2006-07-12 |
| 1124638606 | Kyler James Popp | Optometrist | 735 John R Rd, Troy, MI 48083-5856 | 2020-08-09 |
| 1508425448 | Brigid Roney | Optometrist | 735 John R Rd, Troy, MI 48083-5856 | 2019-06-12 |
| 1487173514 | Ally Pettit | Optometrist | 735 John R Rd, Troy, MI 48083-5856 | 2017-09-09 |
| 1588019947 | Jessica Ryan Jacques Jacques Goodman | Optometrist | 735 John R Rd, Troy, MI 48083-5856 | 2016-05-03 |
| 1164815825 | Umang Desai | Pharmacist | 735 John R Rd, Suite 150, Troy, MI 48083-5856 | 2015-03-05 |
| 1598175135 | Katherine Lewnau | Pharmacist | 735 John R Rd, Suite 150, Troy, MI 48083-5856 | 2014-05-05 |
| 1871926196 | Jessica Rose White | Optometrist | 735 John R Rd, Troy, MI 48083-5856 | 2013-08-11 |
| 1194079780 | Rania Akkad | Pharmacist | 735 John R Rd, Suite 150, Troy, MI 48083-5856 | 2012-11-03 |
| 1659636017 | Daniel G Balcueva | Optometrist | 735 John R Rd, Troy, MI 48083-5856 | 2012-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| 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 |
|---|---|---|---|---|
| 1013481357 | 4 Chaudhrys LLC | Optometrist | 2200 Burdett Ave Ste 103, Troy, NY 12180-2451 | 2019-01-21 |
| 1194064584 | Ryan M. Subler, O.d., Inc. | Optometrist | 1001 S Dorset Rd, Troy, OH 45373-4750 | 2013-02-05 |
| 1326398793 | 20 20 Family Vision Center | Optometrist | 2801 W. Big Beaver, Suite E-132, Troy, MI 48084 | 2012-09-13 |
| 1013143957 | Advanced Eye Care of Winfield LLC | Optometrist | 43 Ellis Ave, Troy, MO 63379-1151 | 2009-06-05 |
| 1851541577 | Raoy D Lamb Od | Optometrist | 502 N Three Notch St, Troy, AL 36081 | 2008-09-30 |
| 1972701084 | Carolyn J. Davis | Optometrist | 19 S Weston Rd, Troy, OH 45373-2515 | 2007-07-10 |
| 1689880395 | Paul F Nickola | Optometrist | 675 E Big Beaver, Suite 211 Senior Vision Care, Troy, MI 48083 | 2007-05-16 |
| 1215149018 | Primary Eyecare Associates Inc | Optometrist | 93 Robinhood Lane, Troy, OH 45373 | 2007-05-04 |
| 1033240619 | Franken Eye Clinic Inc | Optometrist | 116 East Walnut Street, Troy, KS 66087-0188 | 2007-03-08 |
| 1740323435 | Ronald Spalter | Optometrist | 682 W 14 Mile Rd, Troy, MI 48083-4236 | 2007-02-14 |
| Find all providers in TROY | ||||
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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.