Marvin Shulman, MD, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MS033963 Issued in MI

Legal business name

MARVIN SHULMAN, MD, PC

Practice address

16530 19 Mile Rd
Clinton Township, MI 48038-1106

Phone

(586) 286-6600

Fax

(586) 286-3503

NPI assigned

Jun 14, 2005

Organization subpart

No

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

Authorized official

Name

Marvin Shulman, MD

Title

President/Owner

Phone

(586) 286-6600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Senior Eye Site Doing business as

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1235134644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16530 19 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381106",
            "telephone_number": "586-286-6600",
            "fax_number": "586-286-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16530 19 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381106",
            "telephone_number": "586-286-6600",
            "fax_number": "586-286-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN SHULMAN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "SHULMAN",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "586-286-6600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "MS033963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH0415",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "180E06118",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Senior Eye Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaclynne Ann Martin, LMSW
• Torre Vancha Martin, ADULT FOSTER CARE
• Ligia Martinescul, CNP
• Carlos Gerardo Martinez Elizondo, MD
• Anthony Martinico
• Mary'S Residential Care for Seniors, Inc
• Trey Marzloff, NP-C
• Barbara Mason, OT
• Trina Mason
• Virginia Mason, R.N.

• Ophthalmology Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.