NPIMap

Organization Active NPI

William Beaumont Hospital

Doing business as Beaumont Eye Institute

  • Durable Medical Equipment & Medical Supplies
  • Royal Oak, MI
National Provider Identifier
1073763744
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WILLIAM BEAUMONT HOSPITAL
Doing business as
Beaumont Eye Institute
Corewell Health William Beaumont University Hospital Eye Optical Shop
Practice address
3535 W 13 Mile Rd Ste 555
Eye Institute Optical Shop
Royal Oak, MI 48073-6770
Phone
(248) 551-2020
Fax
(248) 551-2267
NPI assigned
Sep 30, 2008
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Matthew E Cox
Title
Chief Financial Officer, Che
Phone
(947) 522-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MI Primary

Addresses

Primary practice location

3535 W 13 Mile Rd Ste 555
Eye Institute Optical Shop
Royal Oak, MI 48073-6770

Mailing address

26901 Beaumont Blvd
Southfield, MI 48033-3849
Phone (947) 522-1963

Other names 2

  • BEAUMONT EYE INSTITUTE Doing business as
  • Corewell Health William Beaumont University Hospital Eye Optical Shop Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.beaumont.edu

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120525000400 MI DME Supplier - OtherDME Supplier - Physician - Optometrist 9335051093 Practice locations: Royal Oak, MI

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0925946Corewell Health W Beaumont Univ Hosp3535 West 13 Mile Road Suite 707, Royal Oak, MI 48073Provider-performed microscopyOct 26, 2026
23D0978171Corewell Health W Beaumont Univ Hosp3535 West 13 Mile Road, Suite 404, Royal Oak, MI 48073Provider-performed microscopySep 17, 2026
23D2107496Corewell Health W Beaumont University Hosp3535 W 13 Mile Road Suite 247, Royal Oak, MI 48073Provider-performed microscopyJul 16, 2028
23D2179759Corewell Health W Beaumont Univ Hosp3535 W 13 Mile Road Suite 507, Royal Oak, MI 48073Certificate of waiverMar 1, 2028

National Provider Directory

National Provider Directory
Tax ID family
William Beaumont Hospital Outpatient Pharmacy118 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Beaumont Home HealthTroy, MI, CCN 237112 Home health agency 5% Or Greater Indirect Ownership Interest (10%) Jan 1, 2019
Beaumont HospiceTroy, MI, CCN 231574 Hospice 5% Or Greater Indirect Ownership Interest (10%) Jan 1, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Beaumont Ashn, LLC

    dba Beaumont Home Health and Hospice, LLC

    • Home Health Agency
    • Troy, MI
    • NPI 1811461734

    5% Or Greater Indirect Ownership Interest

    CMS ownership
  • Beaumont Ashn, LLC

    dba Beaumont Home Health and Hospice, LLC

    • Community Based Hospice Care Agency
    • Troy, MI
    • NPI 1851865786

    5% Or Greater Indirect Ownership Interest

    CMS ownership

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1073763744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD STE 555",
            "address_2": "EYE INSTITUTE OPTICAL SHOP",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-551-2020",
            "fax_number": "248-551-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BEAUMONT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER, CHE",
        "authorized_official_telephone_number": "947-522-3333"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "3535 W 13 Mile Rd",
            "address_2": "Suite 555",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BEAUMONT EYE INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BEAUMONT EYE INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corewell Health William Beaumont University Hospital Eye Optical Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.