Organization Active NPI

Mid Michigan Retina PLC

  • Ophthalmology Physician
  • East Lansing, MI
National Provider Identifier
1215175385
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301068962 Issued in MI
Legal business name
MID MICHIGAN RETINA PLC
Practice address
1070 Trowbridge Rd
East Lansing, MI 48823-5220
Phone
(517) 574-5850
Fax
(517) 574-5852
NPI assigned
Jan 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Dr. Ashim Aggarwal, MDNPI 1891779286
Title
Servicing Provider
Phone
(517) 574-5850

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 SINGLE SPECIALTY GROUP 207W00000X 4301068962 MI Primary

Addresses

Primary practice location

1070 Trowbridge Rd
East Lansing, MI 48823-5220

Mailing address

1070 Trowbridge Rd Ste 200
East Lansing, MI 48823-5220
Phone (517) 574-5850

Other practice location 1

905 E Pickard St Ste 1
Mount Pleasant, MI 48858-1010
Phone (517) 574-5850

Other practice location 2

14915 W Michigan Ave
Marshall, MI 49068-8504
Phone (517) 574-5850

Other names 1

  • Dr Ashim Aggarwal Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090406000025 MI Part B Supplier - Clinic/Group Practice 4587711700 Receives reassigned benefits from 1 practitioner
Practice locations: East Lansing, MI; Marshall, MI; Mount Pleasant, MI

National Provider Directory

National Provider Directory

Locations

4660 S Hagadorn Rd
Ste 200
East Lansing, MI 48823
Phone (517) 574-5850

1070 Trowbridge Rd
Ste 200
East Lansing, MI 48823

1070 Trowbridge Rd
East Lansing, MI 48823
Phone (517) 574-5850

14915 Old Michigan Ave
Marshall, MI 49068
Phone (269) 781-9863

215 E Mansion St
Ste 2E
Marshall, MI 49068
Phone (269) 781-9822

905 E Pickard St
Ste 1
Mount Pleasant, MI 48858
Phone (517) 574-5850

905 E Pickard Rd
Mount Pleasant, MI 48858

905 E Pickard St
Mt Pleasant, MI 48858
Phone (517) 574-5850

Interoperability endpoints

  • Direct secure messaging: aaggarwal@mmretina.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 3

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": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1215175385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 TROWBRIDGE RD STE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235220",
            "telephone_number": "517-574-5850",
            "fax_number": "517-574-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 TROWBRIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235220",
            "telephone_number": "517-574-5850",
            "fax_number": "517-574-5852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 E Pickard St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "MI",
            "postal_code": "488581010",
            "country_code": "US",
            "telephone_number": "517-574-5850",
            "fax_number": "517-574-5852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14915 W Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MI",
            "postal_code": "490688504",
            "country_code": "US",
            "telephone_number": "517-574-5850",
            "fax_number": "517-574-5852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MID MICHIGAN RETINA PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "ASHIM",
        "authorized_official_title_or_position": "SERVICING PROVIDER",
        "authorized_official_telephone_number": "517-574-5850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301068962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Ashim Aggarwal",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.