Organization Active NPI

Beitman Laser Eye Institute PC

  • Clinic/Center
  • West Bloomfield, MI
National Provider Identifier
1346390572
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
RB038148 Issued in MI
Legal business name
BEITMAN LASER EYE INSTITUTE PC
Practice address
5813 W Maple Rd
#137
West Bloomfield, MI 48322-4400
Phone
(348) 855-6200
Fax
(248) 855-7721
NPI assigned
Jan 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert David Beitman, M.D.
Title
President
Phone
(248) 855-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X RB038148 MI Primary

Addresses

Primary practice location

5813 W Maple Rd
#137
West Bloomfield, MI 48322-4400

Mailing address

5813 W Maple Rd
#137
West Bloomfield, MI 48322-4400
Phone (348) 855-6200

National Provider Directory

National Provider Directory

Locations

5813 W Maple Rd
Ste 137
West Bloomfield, MI 48322
Phone (248) 855-1204

Practitioners & affiliated clinicians

Practitioners 2

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346390572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5813 W MAPLE RD",
            "address_2": "#137",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224400",
            "telephone_number": "348-855-6200",
            "fax_number": "248-855-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5813 W MAPLE RD",
            "address_2": "#137",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224400",
            "telephone_number": "348-855-6200",
            "fax_number": "248-855-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEITMAN LASER EYE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEITMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-855-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "RB038148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.