Organization Active NPI

Farmington Laser Eye Center

  • Ophthalmology Physician
  • Dearborn, MI
National Provider Identifier
1124113113
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DF058932 Issued in MI
Legal business name
FARMINGTON LASER EYE CENTER
Practice address
25325 Ford Rd
Suite 200
Dearborn, MI 48128
Phone
(313) 357-3006
Fax
(313) 724-2455
NPI assigned
Oct 4, 2006
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
Donald C Fiander, MDNPI 1053413146
Title
President
Phone
(313) 357-3006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X DF058932 MI Primary

Addresses

Primary practice location

25325 Ford Rd
Suite 200
Dearborn, MI 48128

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1808245461OtherMIBCBS OF MICHIGAN

National Provider Directory

National Provider Directory

Locations

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

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124113113",
    "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": "48128",
            "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": "48128",
            "telephone_number": "313-357-3006",
            "fax_number": "313-724-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON LASER EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "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_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "DF058932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "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.