Organization Active NPI

Richard C Mertz Jr MD PC

  • Ambulatory Surgical Clinic/Center
  • Saint Clair Shores, MI
National Provider Identifier
1043395502
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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 CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. James W Klein, MDNPI 1104828482
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Metropolitan Eye Center2 organizations share this tax ID, including this one
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.

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.