Active NPI
Marla J Price DO PLLC
Doing business as Byrd and Wyandotte Eye Clinic'
- Ophthalmology Physician
- Wyandotte, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- MARLA J PRICE DO PLLC
- Doing business as
- Byrd and Wyandotte Eye Clinic'
- Practice address
- 100 Oak St
Wyandotte, MI 48192-5134 - Phone
- (734) 284-2444
- Fax
- (735) 284-5155
- NPI assigned
- Nov 5, 2007
- Last updated
- Jan 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marla Jeanne Price, DO
- Title
- Physician
- Phone
- (734) 284-2444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MP008968 | MI | |
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
100 Oak St
Wyandotte, MI 48192-5134
Mailing address
100 Oak St
Wyandotte, MI 48192-5134
Phone (734) 284-2444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2996126 | Medicaid | MI | |
| MP008968 | Other | MI | LICENSE |
Other names 1
- Byrd and Wyandotte Eye Clinic'
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2284890 | Byrd and Wyandotte Eye Clinic | Certificate of waiver | Jun 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
3677 Fort St
Lincoln Park, MI 48146
Phone (313) 383-1300
100 Oak St
Wyandotte, MI 48192
Phone (734) 284-2444
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Ophthalmology Physician
- Wyandotte, MI
- NPI 1134188469
-
- Ophthalmology Physician
- Dearborn, MI
- NPI 1528688538
-
- Ophthalmology Physician
- Wyandotte, MI
- NPI 1346862760
-
- Optometrist
- Wyandotte, MI
- NPI 1134829732
-
- Ophthalmology Physician
- Wyandotte, MI
- NPI 1326011792
-
- Ophthalmology Physician
- Detroit, MI
- NPI 1942313499
-
- Ophthalmology Physician
- Taylor, MI
- NPI 1467464032
-
- Ophthalmology Physician
- Des Peres, MO
- NPI 1861481152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705968000000",
"number": "1083894349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 OAK ST",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481925134",
"telephone_number": "734-284-2444",
"fax_number": "735-284-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OAK ST",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481925134",
"telephone_number": "734-284-2444",
"fax_number": "735-284-5155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARLA J PRICE DO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-05",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "MARLA",
"authorized_official_middle_name": "JEANNE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "734-284-2444",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "MP008968",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2996126",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MP008968",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Byrd and Wyandotte Eye Clinic'",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.