NPIMap

Organization Active NPI

GNB Optical Company

Doing business as GNB Optical Co

  • Optician
  • Bloomfield Hills, MI
National Provider Identifier
1114002060
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
GNB OPTICAL COMPANY
Doing business as
GNB Optical Co
Practice address
43996 Woodward Ave Suite 101
Bloomfield Hills, MI 48302
Phone
(248) 332-4544
Fax
(248) 332-2716
NPI assigned
Oct 26, 2006
Last updated
Feb 25, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
BURMAN & ZUCKERBROD OPHTHALMOLOGY ASSOC. PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Dr. Daniel S Zuckerbrod, MDNPI 1033104773
Title
Owner
Phone
(313) 341-3450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

43996 Woodward Ave Suite 101
Bloomfield Hills, MI 48302

Mailing address

43996 Woodward Ave Suite 101
Bloomfield Hills, MI 48302
Phone (248) 332-4544

Other identifiers 1

IdentifierTypeStateIssuer
5047903MedicaidMI

Other names 1

  • GNB OPTICAL CO Doing business as

National Provider Directory

National Provider Directory
Part of
Alan K Rice

Locations

10 W Square Lake Rd
Ste 100
Bloomfield Hills, MI 48302

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1114002060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43996 WOODWARD AVE SUITE 101",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-332-4544",
            "fax_number": "248-332-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43996 WOODWARD AVE SUITE 101",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-332-4544",
            "fax_number": "248-332-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GNB OPTICAL COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BURMAN & ZUCKERBROD OPHTHALMOLOGY ASSOC. PC",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "ZUCKERBROD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-341-3450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5047903",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GNB OPTICAL CO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GNB OPTICAL CO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.