Organization Active NPI

Lasik Centers of Michigan PC

  • Ophthalmologic Surgery Clinic/Center
  • Dearborn, MI
National Provider Identifier
1114138781
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
DF058932 Issued in MI
Legal business name
LASIK CENTERS OF MICHIGAN PC
Practice address
25325 Ford Rd
Suite 200
Dearborn, MI 48128-1086
Phone
(313) 357-3006
Fax
(313) 724-2455
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Donald C Fiander, MD
Title
President
Phone
(313) 357-3006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X DF058932 MI Primary

Addresses

Primary practice location

25325 Ford Rd
Suite 200
Dearborn, MI 48128-1086

Mailing address

25325 Ford Rd
Suite 200
Dearborn, MI 48128-1086
Phone (313) 357-3006

Other identifiers 1

IdentifierTypeStateIssuer
1808245461OtherMIBCBS MI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114138781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25325 FORD RD",
            "address_2": "SUITE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281086",
            "telephone_number": "313-357-3006",
            "fax_number": "313-724-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25325 FORD RD",
            "address_2": "SUITE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281086",
            "telephone_number": "313-357-3006",
            "fax_number": "313-724-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASIK CENTERS OF MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIANDER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-357-3006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "MI",
            "license": "DF058932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "1808245461",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.