Mid Michigan Ophthalmology PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301039901 Issued in MI

Legal business name

MID MICHIGAN OPHTHALMOLOGY PC

Practice address

3390 E Jolly Rd
Lansing, MI 48910-8547

Phone

(517) 393-2020

Fax

(517) 393-5050

NPI assigned

Dec 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Terry L Garrett

Title

Office Manager

Phone

(517) 393-2020

Specialties & licenses 1

Addresses

Other names 1

• Rosenbaum Eye & Laser Center Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chris Michael Kramer, O.D.

  • Optometrist
  • Holt, MI
  • NPI 1245221969
  Medicare reassignment NPD
• Frank Rosenbaum, M.D.

  • Ophthalmology Physician
  • Lansing, MI
  • NPI 1598783623
  Medicare reassignment NPD
• Erica Anne Person, M.D.

  • Ophthalmology Physician
  • Champaign, IL
  • NPI 1730104902

  MI

  Medicare reassignment NPD
• Lance Cameron Lemon, M.D.

  • Ophthalmology Physician
  • Lansing, MI
  • NPI 1669490702
  Medicare reassignment
• Barbara A Hadley, CRNA

  • Certified Registered Nurse Anesthetist
  • Scottsdale, AZ
  • NPI 1821072513
  NPD
• Dan St. Aubin, M.D.

  • Ophthalmology Physician
  • Flint, MI
  • NPI 1699115675
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1013085901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 EAST JOLLY ROAD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48911",
            "telephone_number": "517-393-2020",
            "fax_number": "517-393-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 E JOLLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108547",
            "telephone_number": "517-393-2020",
            "fax_number": "517-393-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID MICHIGAN OPHTHALMOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-393-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301039901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosenbaum Eye & Laser Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michelle Mick, LBSW
• Mid Michigan Fertility Care
• Mid Michigan Hearing
• Mid Michigan Internal Medicine PC
• Mid Michigan Neurology Consultants PC
• Mid- Michigan Dental Sleep Center
• Mid-Michigan Dermatology, PLLC
• Mid-Michigan MRI, Inc.
• Mid-Michigan Oncology Radiation Associates
• Mid-Michigan Oncology Radiation Associates PC

• Ophthalmology Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.