Northwest Eye Foundation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NORTHWEST EYE FOUNDATION

Practice address

6071 W Outer Dr
M-106
Detroit, MI 48235-2624

Phone

(313) 966-2024

Fax

(313) 966-7418

NPI assigned

Mar 19, 2009

Last updated

Sep 29, 2014By 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

Mark S Juzych, MDNPI 1053359125

Title

Manager

Phone

(248) 581-5973

Specialties & licenses 1

Addresses

Other identifiers 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.

• Mark S Juzych, MD, MHSA

  • Ophthalmology Physician
  • Detroit, MI
  • NPI 1053359125
  NPD Authorized official

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1073754164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E. MAPLE RD.",
            "address_2": "SUITE 400-CREDENTIALING",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831189",
            "telephone_number": "248-581-5973",
            "fax_number": "248-581-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 W OUTER DR",
            "address_2": "M-106",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352624",
            "telephone_number": "313-966-2024",
            "fax_number": "313-966-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST EYE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "JUZYCH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-581-5973",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP#",
            "identifier": "0H24365",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northstar Home Medical Equipment Inc
• Northstar Home Medical Equipment Inc.
• Northwest Dental Clinic, PLLC
• Northwest Detroit Dialysis Center, LLC
• Northwest Drug Rehabilitation Inc
• Northwest Eye Foundation
• Northwest Housecall Doctor & Nurse Practitioners
• Northwest Industrail Drug Rehabilitation Clinic
• Northwest Industrial and Medical Services PC
• Northwest Industrial Drug Rehabilitation Clinic

• Optometrist in Detroit, MI
• Providers in Detroit, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.