Michigan Glaucoma & Cataract, P.C.
Organization Active NPI Specialist · Pleasant Ridge, MI
NPI 1073540324 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1073540324
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 4301405297 (MI)
- Legal business name
- MICHIGAN GLAUCOMA & CATARACT, P.C.
- 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
- Organization subpart
- No
Authorized official
- Name
- Craig Young
- Title
- Office Administrator
- Phone
- (586) 218-5457
Practitioners 15
-
Tom Obertynski, M.D.
-
Stephen Walters, M.D.
-
Marcel W Brooks, O.D.
-
Elena C Byrnes, OD
-
Sydni Glass, OD
-
Maya Murray, OD
-
Padmaja Nootheti, MD
-
Alesha Spellman Smith, O.D.
-
Azeb Telahun, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061228000136 | MI | Part B Supplier - Clinic/Group Practice | 7416957352 |
Receives reassigned benefits from 2 practitioners Practice locations: Pleasant Ridge, MI |
National Provider Directory
Locations
404 E 10 Mile Rd
Pleasant Ridge, MI 48069
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 4301405297 | MI | Yes |
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
- Michigan Glaucoma Specialists PC
Other providers in Pleasant Ridge, MI
- Jaclyn Keegan
- Amy Virginia Kuzniar
- Stephanie Laird
- Jonathan Lyskawa
- Metta & Moxie Therapeutics, LLC
- Momentum Therapy Services, LLC
- Mueller Anesthesia Services, Inc
- Kelly Nack
- Tom Obertynski
- Valerie Kay Overholt
All providers in Pleasant Ridge, MI · Specialist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.