Active NPI
Regents of the University of Michigan
- Eyewear Supplier
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- REGENTS OF THE UNIVERSITY OF MICHIGAN
- Practice address
- 1000 Wall Street
Ann Arbor, MI 48105-0714 - Phone
- (734) 764-4190
- NPI assigned
- Jul 12, 2006
- Last updated
- Nov 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Christopher Miller, MD
- Title
- President
- Phone
- (734) 936-3568
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ocularist | 156FX1700X | |||
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
1000 Wall Street
Ann Arbor, MI 48105-0714
Mailing address
3621 S State St
Provider Enrollment
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other names 1
- UMHS Kellogg Eye Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930020639 | MI | DME Supplier - Physician - Ophthalmology | 3779496856 | Practice locations: Ann Arbor, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2106110 | Kellogg Eye Center | Accreditation | Mar 27, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All facility ownership & control disclosures 17
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| University of Michigan Health-Sparrow Eaton | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health - West | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 15, 2016 |
| University of Michigan Health-Sparrow Lansing | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow Ionia | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2024 |
| University of Michigan Health-Sparrow | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| Chelsea Hospital | Hospital | 5% Or Greater Direct Ownership Interest (49%) | Jul 1, 2018 |
| Chelsea Hospital | Hospital | 5% Or Greater Direct Ownership Interest (49%) | Jul 1, 2018 |
| University of Michigan Health-Sparrow | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow Carson | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Mar 1, 2025 |
| University of Michigan Health-Sparrow | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow Ionia | Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow | Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow Ithaca Primary Care | Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow | Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow Portland Primary Care | Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow Saranac Primary Care | Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urology Physician
- Ann Arbor, MI
- NPI 1629092713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763424000000",
"number": "1255366555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"address_2": "PROVIDER ENROLLMENT",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WALL STREET",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481050714",
"telephone_number": "734-764-4190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENTS OF THE UNIVERSITY OF MICHIGAN",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "734-936-3568",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "156FX1700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Ocularist",
"state": null,
"license": null,
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UMHS Kellogg Eye Center",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "UMHS Kellogg Eye Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ann Arbor, MI
- Regents of the University of Michigan (University of Michigan Health System)
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan (MedEQUIP)
- Regents of the University of Michigan (HomeMed)
- Regents of the University of Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.