Organization
SASHA SHAMMAMI, OD, PLLC
Active
Parent organization
LUXOTTICA RETAIL NORTH AMERICA, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUXOTTICA RETAIL NORTH AMERICA, INC.
Authorized official
SASHA SHAMMAMI OD (OPTOMETRIST)
(248) 497-8636
Entity
Organization
Contact information
Practice address
1301 COOLIDGE HWY, TROY, MI 48084-7017
(248) 643-9880
Mailing address
4679 FORESTVIEW DR, WEST BLOOMFIELD, MI 48322-4547
(248) 497-8636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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