Carl F. Clavenna, M.D., P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CARL F. CLAVENNA, M.D., P.C.

Practice address

600 S Adams Rd
Suite 200
Birmingham, MI 48009-6861

Phone

(248) 646-3733

Fax

(248) 642-2566

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carl F Clavenna, M.D.

Title

President

Phone

(248) 646-3733

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Clavenna Vision Institute Doing business as

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1184723694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S ADAMS RD",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096861",
            "telephone_number": "248-646-3733",
            "fax_number": "248-642-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S ADAMS RD",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096861",
            "telephone_number": "248-646-3733",
            "fax_number": "248-642-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL F. CLAVENNA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "CLAVENNA",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-646-3733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP",
            "identifier": "180F321870",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK GROUP",
            "identifier": "G5031F",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clavenna Vision Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clavenna Vision Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.