Michelle Kornblum, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301106257 Issued in MI

Practice address

29927 6 Mile Rd
Livonia, MI 48152-3670

Phone

(734) 522-0800

NPI assigned

Dec 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Michelle Zeevi Other name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

State University of New York Downstate Medical Center, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Livonia Ophthalmologists PCGroup PAC ID 6901905520, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Livonia Ophthalmologists PC

  • Ophthalmology Physician
  • Livonia, MI
  • NPI 1922131259
  Medicare reassignment Care Compare group NPD
• Eye Travel,PC

  • Ophthalmology Physician
  • Southfield, MI
  • NPI 1982709861
  Medicare reassignment NPD
• Port Huron Ophthalmology, PLLC

  • Ophthalmology Physician
  • Port Huron, MI
  • NPI 1376558122
  Medicare reassignment NPD
• Yaldo Eye Centers PC

  • Ophthalmology Physician
  • Farmington Hills, MI
  • NPI 1487979647
  Medicare reassignment
• Ophthalmology Care of New York, PLLC

  dba Eye Center of New York

  • Ophthalmology Physician
  • New York, NY
  • NPI 1457695421
  NPD (past)

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504051200000",
    "number": "1093019465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29927 6 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523670",
            "telephone_number": "734-522-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29927 6 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523670",
            "telephone_number": "734-522-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNBLUM",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301106257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "ZEEVI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lance Valentine Kongeal, RN
• Lawrence Konst, D.O.
• Jennifer Elaine Kopnick
• Amanda Kay-Lynne Kopp, PSY.D.
• Sandhya Koripalli Chiranjeevi, RPT
• Anne-Marie Korotney, LMSW
• Derek Matthew Korzym, M.D.
• Jennifer Kosh, MS CCC-SLP
• Elizabeth Anne Koster, MS/CF SLPR
• Michael L Kostreva, IONM TECH

• Ophthalmology Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.