TLC Laser Center of Detroit, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TLC LASER CENTER OF DETROIT, LLC

Doing business as

TLC Laser Eye Centers Detroit

Practice address

34405 W 12 Mile Rd
Ste. 154
Farmington Hills, MI 48331-3391

Phone

(248) 489-0400

NPI assigned

May 8, 2007

Organization subpart

Yes

Parent organization

TLC MICHIGAN LLCAs reported in NPPES

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

Authorized official

Name

Trish Munsell

Title

Paralegal

Phone

(636) 534-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TLC Laser Eye Centers Detroit Doing business as

Part of

TLC Michigan LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• TLC Michigan, LLC

  • Ophthalmology Physician
  • Farmington Hills, MI
  • NPI 1407060874
  NPPES parent name

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1013120641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16305 SWINGLEY RIDGE RD",
            "address_2": "STE. 300",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630171777",
            "telephone_number": "636-534-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34405 W 12 MILE RD",
            "address_2": "STE. 154",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313391",
            "telephone_number": "248-489-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC LASER CENTER OF DETROIT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TLC MICHIGAN LLC",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "MUNSELL",
        "authorized_official_first_name": "TRISH",
        "authorized_official_title_or_position": "PARALEGAL",
        "authorized_official_telephone_number": "636-534-2300"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MICHIGAN G2 QUAL",
            "identifier": "180F373640",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Laser Eye Centers Detroit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Tiznado Moreno
• Alexandria Tiznado
• Karyna Tkachenko
• Victoria Tkaczyk
• TLC Home Aide Corp.
• TLC Michigan, LLC
• Ngun Tlumang
• TMG Dental Health Foundation, Inc.
• TMG Dental Health Services
• Victoria Tobey

• Clinic/Center in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.