Active NPI
Beitman Laser Eye Institute PC
- Clinic/Center
- West Bloomfield, MI
National Provider Identifier
1346390572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- RB038148
- 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, 2020
- 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
- Dr. Robert David Beitman, M.D.
- Title
- President
- Phone
- (248) 855-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Ophthalmology Physician
- Arcadia, CA
- NPI 1518027424
-
- Ophthalmology Physician
- Decatur, IL
- NPI 1760592414
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.