Organization Active NPI

Michigan Optometry PC

  • Optometrist
  • Roseville, MI
National Provider Identifier
1114249141
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Dec 19, 2025

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.