Active NPI
Michigan Optometry PC
- Optometrist
- Roseville, MI
National Provider Identifier
1114249141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MICHIGAN OPTOMETRY PC
- Practice address
- 27118 Gratiot Ave
Inside Costco Roseville
Roseville, MI 48066 - Phone
- (586) 498-2224
- Fax
- (855) 852-5529
- NPI assigned
- Feb 17, 2010
- 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. Neil Bajaj, OD
- Title
- President
- Phone
- (248) 747-4496
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
27118 Gratiot Ave
Inside Costco Roseville
Roseville, MI 48066
Mailing address
50854 Calvert Isle Dr
Novi, MI 48374-2559
Phone (914) 522-8273
Other practice location 1
29555 Plymouth Rd
Livonia, MI 48150-2125
Phone (734) 524-0573
National Provider Directory
National Provider DirectoryLocations
29555 Plymouth Rd
Livonia, MI 48150
Phone (734) 524-0568
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Sterling Heights, MI
- NPI 1770623431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766102400000",
"number": "1114249141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50854 CALVERT ISLE DR",
"city": "NOVI",
"state": "MI",
"postal_code": "483742559",
"telephone_number": "914-522-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27118 GRATIOT AVE",
"address_2": "INSIDE COSTCO ROSEVILLE",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "48066",
"telephone_number": "586-498-2224",
"fax_number": "855-852-5529"
}
],
"practiceLocations": [
{
"address_1": "29555 Plymouth Rd",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481502125",
"country_code": "US",
"telephone_number": "734-524-0573",
"fax_number": "734-422-0756",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MICHIGAN OPTOMETRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-17",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A",
"authorized_official_last_name": "BAJAJ",
"authorized_official_first_name": "NEIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-747-4496",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MI
- Michaelleb ABA and Consultation Services
- Michigan Cancer Consultants, PC
- Michigan Cancer Specialists, PLC
- Michigan Infant Care, LLC
- Michigan Neurology Institute-East, P.C.
- Michigan Spine Center LLC
- Michigan Surgery Specialists P.C.
- Michigan Surgery Specialists, P.C.
- Heather Milewski, LMSW
- MJ Optometry, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.