Organization Active NPI

Michigan Glaucoma & Cataract, P.C.

Doing business as Michigan Glaucoma Specialists PC

  • Specialist
  • Pleasant Ridge, MI
National Provider Identifier
1073540324
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301405297 Issued in MI
Legal business name
MICHIGAN GLAUCOMA & CATARACT, P.C.
Doing business as
Michigan Glaucoma Specialists PC
Practice address
404 E 10 Mile Rd Ste 100
Pleasant Ridge, MI 48069-1201
Phone
(248) 220-5252
Fax
(248) 220-5261
NPI assigned
Jun 26, 2006
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Craig Young
Title
Office Administrator
Phone
(586) 218-5457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4301405297 MI Primary

Addresses

Primary practice location

404 E 10 Mile Rd Ste 100
Pleasant Ridge, MI 48069-1201

Mailing address

404 E 10 Mile Rd Ste 100
Pleasant Ridge, MI 48069-1201
Phone (586) 218-5457

Other names 1

  • Michigan Glaucoma Specialists PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061228000136 MI Part B Supplier - Clinic/Group Practice 7416957352 Receives reassigned benefits from 2 practitioners
Practice locations: Pleasant Ridge, MI

National Provider Directory

National Provider Directory

Locations

9131 Piscataway Rd
Ste 450
Clinton, MD 20735
Phone (301) 868-6700

43421 Garfield Rd
Ste 7
Clinton Twp, MI 48038
Phone (586) 286-3400

404 E 10 Mile Rd
Ste 100
Pleasant Ridge, MI 48069
Phone (248) 220-5252

25650 Kelly Rd
Ste 11
Roseville, MI 48066
Phone (506) 772-1990

3535 W 13 Mile Rd
Ste 645
Royal Oak, MI 48073
Phone (248) 220-5252

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1073540324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E 10 MILE RD STE 100",
            "city": "PLEASANT RIDGE",
            "state": "MI",
            "postal_code": "480691201",
            "telephone_number": "586-218-5457",
            "fax_number": "248-220-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E 10 MILE RD STE 100",
            "city": "PLEASANT RIDGE",
            "state": "MI",
            "postal_code": "480691201",
            "telephone_number": "248-220-5252",
            "fax_number": "248-220-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN GLAUCOMA & CATARACT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-09-02",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "586-218-5457"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301405297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Glaucoma Specialists PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Ridge, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.