Individual provider Active NPI

William W. Ehrlich, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Clinton Township, MI
National Provider Identifier
1073509857
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
4301043309 Issued in MI
Practice address
19176 Hall Rd Ste 110
Clinton Township, MI 48038-6914
Phone
(586) 286-3400
Fax
(862) 863-6195
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 4301043309 MI Primary

Addresses

Primary practice location

19176 Hall Rd Ste 110
Clinton Township, MI 48038-6914

Mailing address

30150 Telegraph Rd Ste 271
Bingham Farms, MI 48025-4521
Phone (313) 530-5494

Other practice location 1

2125 Butterfield Dr Ste 201N
Troy, MI 48084-3441
Phone (248) 649-1644

Other practice location 2

40053 8 Mile Rd Ste 100
Northville, MI 48167-1954
Phone (248) 449-9292

Other practice location 3

24241 Michigan Ave
Dearborn, MI 48124-1801
Phone (313) 561-7255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050315000406 MI Practitioner - Ophthalmology 6406801216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301043309MIMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Eye Care Center, PC Ophthalmology PastSince Apr 1, 1994 Accepting new patients
Jonathan M Frantz, MD PA Ophthalmology Past Accepting new patients
Trillium Eye Plastic Surgery, P.C. Specialist PastSince Jan 16, 1997 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: william.ehrlich@direct.secureehrthomas.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1073509857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30150 TELEGRAPH RD STE 271",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254521",
            "telephone_number": "313-530-5494",
            "fax_number": "205-943-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19176 HALL RD STE 110",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386914",
            "telephone_number": "586-286-3400",
            "fax_number": "862-863-6195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2125 Butterfield Dr Ste 201N",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480843441",
            "country_code": "US",
            "telephone_number": "248-649-1644",
            "fax_number": "586-286-3619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40053 8 Mile Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Northville",
            "state": "MI",
            "postal_code": "481671954",
            "country_code": "US",
            "telephone_number": "248-449-9292",
            "fax_number": "248-955-1310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24241 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481241801",
            "country_code": "US",
            "telephone_number": "313-561-7255",
            "fax_number": "313-561-6137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EHRLICH",
        "first_name": "WILLIAM",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": "4301043309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.