Mi Great Lakes Eyecare, PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MI GREAT LAKES EYECARE, PC

Practice address

12 Donovan PL
Grosse Pointe, MI 48230-1935

Phone

(646) 241-0810

NPI assigned

Jan 28, 2021

Last updated

Jan 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth R. Borowiec, ODNPI 1558565184

Title

Optometrist/Owner

Phone

(646) 241-0810

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth R. Borowiec, O.D

  • Optometrist
  • New York, NY
  • NPI 1558565184

  MI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1053902494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DONOVAN PL",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301935",
            "telephone_number": "646-241-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 DONOVAN PL",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301935",
            "telephone_number": "646-241-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI GREAT LAKES EYECARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "BOROWIEC",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "646-241-0810",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Supplies Plus, L.L.C.
• Branka DJ Megler, MD
• Jennifer Mercer, MA, LPC
• Payton Riley Mercer
• Metropolitan Orthopaedic Associates, P.C.
• Michael E Rollins MD
• Kyle Lynne Middleton, CTRS
• Louise Ann Minore, CRNA
• Justin Patrick Mitchelson, M.D.
• Mmi Medical Supplies and Equipment LLC

• Optometrist in Grosse Pointe, MI
• Providers in Grosse Pointe, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.