Advanced Eye Care MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

LG077362 Issued in MI

Legal business name

ADVANCED EYE CARE MD PC

Practice address

23077 Greenfield Suite 144
Southfield, MI 48075-3738

Phone

(248) 569-6120

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lanny Green, M.D

Title

Owner

Phone

(248) 569-6120

Specialties & licenses 1

Addresses

Other names 1

• Dr. Lanny Green M.D Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madison Nicole Smith, OD

  • Optometrist
  • Waterville, OH
  • NPI 1801515366
  NPD (past)
• Jeffrey Thomas Zigulis, O.D.

  • Optometrist
  • Waterville, OH
  • NPI 1619920535
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1164599437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD SUITE 144",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753738",
            "telephone_number": "248-569-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD SUITE 144",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753738",
            "telephone_number": "248-569-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYE CARE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LANNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-569-6120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "LG077362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Lanny Green M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Advanced Professional Home Health Care Services, LLC
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• Ophthalmology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.