M.D. Optical, Warren LTD.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

M.D. OPTICAL, WARREN LTD.

Practice address

30051 Schoenherr Rd
Warren, MI 48088-3124

Phone

(248) 852-3636

Fax

(248) 852-3631

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Frank Nelson Derr, M.D.

Title

President

Phone

(248) 852-3636

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Thomas Ira Millman, M.D.

  • Ophthalmology Physician
  • Rochester Hills, MI
  • NPI 1811991268
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1235149725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 BARCLAY CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074511",
            "telephone_number": "248-852-3636",
            "fax_number": "248-852-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30051 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883124",
            "telephone_number": "248-852-3636",
            "fax_number": "248-852-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.D. OPTICAL, WARREN LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DERR",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-852-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "180E012100",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Lutostanski, LBSW
• Jared Lutsic, DO
• Luxottica Retail North America Inc
• M M E and Supplies Inc
• M Run LLC
• Jae Joon Ma, DDS
• Maan Askar M.D. P.C
• Maan Jamal M.D.P.C.
• Tyler Mabie
• Courtney Mabins

• Durable Medical Equipment & Medical Supplies in Warren, MI
• Providers in Warren, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.