Organization Active NPI

Michael S. Sherman, DO, PC

Doing business as Physican Eye Care Associates

  • Ophthalmology Physician
  • Garden City, MI
National Provider Identifier
1043491343
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5101010605 Issued in MI
Legal business name
MICHAEL S. SHERMAN, DO, PC
Doing business as
Physican Eye Care Associates
Practice address
6255 Inkster Rd
Suite 303
Garden City, MI 48135-2577
Phone
(734) 421-0790
Fax
(734) 421-3780
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Authorized official

Name
Dr. Michael Sherman, DONPI 1063403335
Title
President
Phone
(734) 421-0790

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 5101010605 MI Primary

Addresses

Primary practice location

6255 Inkster Rd
Suite 303
Garden City, MI 48135-2577

Mailing address

6255 Inkster Rd
Suite 303
Garden City, MI 48135-2577
Phone (734) 421-0790

Other identifiers 1

IdentifierTypeStateIssuer
3355555-11MedicaidMI

Other names 1

  • Physican Eye Care Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080117000741 MI Part B Supplier - Clinic/Group Practice 9133200918 Receives reassigned benefits from 1 practitioner
Practice locations: Garden City, MI

National Provider Directory

National Provider Directory

Locations

6255 Inkster Rd
Ste 303
Garden City, MI 48135
Phone (734) 421-0790

6255 Inkster Rd
Ste 30
Garden City, MI 48135
Phone (734) 421-0790

3120 Carpenter St
Ste 307
Hamtramck, MI 48212
Phone (313) 369-2222

Practitioners & affiliated clinicians

Practitioners 2

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1043491343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "SUITE 303",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-421-0790",
            "fax_number": "734-421-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "SUITE 303",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-421-0790",
            "fax_number": "734-421-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S. SHERMAN, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-421-0790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101010605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3355555-11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physican Eye Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.