Organization Active NPI

James Bohdan OD & Associates PC

  • Medical Specialty Clinic/Center
  • Canton, MI
National Provider Identifier
1336304070
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MI2602 Issued in MI
Legal business name
JAMES BOHDAN OD & ASSOCIATES PC
Practice address
42461 Ford Rd
Canton, MI 48187-3303
Phone
(734) 981-5820
Fax
(734) 981-7577
NPI assigned
Jul 22, 2008
Last updated
Jun 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
James R Bohdan, O.D.NPI 1760533293
Title
Owner
Phone
(734) 981-5820

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MI2602 MI Primary

Addresses

Primary practice location

42461 Ford Rd
Canton, MI 48187-3303

Mailing address

42461 Ford Rd
Canton, MI 48187-3303
Phone (734) 981-5820

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1336304070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42461 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873303",
            "telephone_number": "734-981-5820",
            "fax_number": "734-981-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42461 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873303",
            "telephone_number": "734-981-5820",
            "fax_number": "734-981-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES BOHDAN OD & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "BOHDAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-981-5820",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "MI2602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.