Edward a Hollenberg MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301041391 Issued in MI

Legal business name

EDWARD A HOLLENBERG MD PC

Practice address

8589 W Grand River Ave
Ste E
Brighton, MI 48116-4335

Phone

(810) 229-5995

Fax

(248) 358-0153

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edward A Hollenberg, M.D.

Title

President

Phone

(810) 229-5995

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1093742322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29255 NORTHWESTERN HWY",
            "address_2": "STE 302",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341018",
            "telephone_number": "248-358-0155",
            "fax_number": "248-358-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8589 W GRAND RIVER AVE",
            "address_2": "STE E",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481164335",
            "telephone_number": "810-229-5995",
            "fax_number": "248-358-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD A HOLLENBERG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "HOLLENBERG",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-229-5995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301041391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Madeline Griffin Edwards, M.D.
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• Taylor Eicher
• Virginia Elizabeth Eick, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.