Northwest Eye Physicians, P.C.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

NORTHWEST EYE PHYSICIANS, P.C.

Practice address

26850 Providence Pkwy
Suite 440
Novi, MI 48374-1213

Phone

(248) 380-8280

Fax

(248) 380-8411

NPI assigned

Jan 24, 2014

Last updated

Jan 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marchelle Mann

Title

Billing Manager

Phone

(248) 569-4366

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Northwest Eye Physicians, P.C.

  • Ophthalmology Physician
  • Southfield, MI
  • NPI 1740244037

  1951295427

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Northwest Eye Physicians, P.C.

  • Ophthalmology Physician
  • Southfield, MI
  • NPI 1740244037

  O20100112000644

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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.

• Tobias Valentine George, M.D.

  • Ophthalmology Physician
  • Southfield, MI
  • NPI 1518929793
  NPD
• Kenneth Alan Stein, O.D.

  • Optometrist
  • West Bloomfield, MI
  • NPI 1760510630
  NPD
• Christopher David Theodoroff, O.D.

  • Optometrist
  • Warren, MI
  • NPI 1982611745
  NPD

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1306269436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR",
            "address_2": "SUITE 304",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754825",
            "telephone_number": "248-569-4366",
            "fax_number": "248-569-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "SUITE 440",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741213",
            "telephone_number": "248-380-8280",
            "fax_number": "248-380-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST EYE PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "MARCHELLE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "248-569-4366",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northbrook Psychological Clinic PLC
• Camille Northcutt
• Richard H Northcutt
• Northpoint Christian Counseling (NorthPoint Professional Counseling)
• Northpoint Professional Counseling, Inc
• Northwest Orthotics and Prosthetics L.L.C. (Bott Prosthetics)
• Northwest Orthotics Prosthetics Inc
• Amy Norton
• Lisa Norton
• Rayna Notareschi

• Eyewear Supplier in Novi, MI
• Providers in Novi, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.