Active NPI
Richard C Mertz Jr MD PC
- Ambulatory Surgical Clinic/Center
- Saint Clair Shores, MI
National Provider Identifier
1043395502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- RICHARD C MERTZ JR MD PC
- Practice address
- 21711 Greater Mack Ave
Saint Clair Shores, MI 48080-2418 - Phone
- (586) 774-0393
- NPI assigned
- Oct 25, 2006
- Organization subpart
- Yes
- Parent organization
- METROPOLITAN EYE CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James W Klein, MD
- Title
- Medical Director
- Phone
- (586) 774-0393
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
21711 Greater Mack Ave
Saint Clair Shores, MI 48080-2418
Mailing address
21711 Greater Mack Ave
Saint Clair Shores, MI 48080-2418
Other names 1
- Metropolitan Eye Center and Outpatient Surgical Facility
National Provider Directory
National Provider Directory- Tax ID family
- Metropolitan Eye Center
- Part of
- Metropolitan Eye Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- St Clair Shores, MI
- NPI 1467408914
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- St Clair Shores, MI
- NPI 1104828482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1043395502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21711 GREATER MACK AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480802418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21711 GREATER MACK AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480802418",
"telephone_number": "586-774-0393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD C MERTZ JR MD PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "METROPOLITAN EYE CENTER",
"enumeration_date": "2006-10-25",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "586-774-0393",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Metropolitan Eye Center and Outpatient Surgical Facility",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.