Organization Active NPI

Quality Eye Care PC

  • Specialist
  • Dearborn, MI
National Provider Identifier
1346441904
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17440000X Issued in MI
Legal business name
QUALITY EYE CARE PC
Practice address
23550 Park St
Suite 200
Dearborn, MI 48124-2592
Phone
(313) 724-2273
Fax
(313) 724-2276
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Mrs. Sharon M Vial
Title
Billing Specialist
Phone
(313) 724-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 17440000X MI Primary

Addresses

Primary practice location

23550 Park St
Suite 200
Dearborn, MI 48124-2592

Mailing address

23550 Park St
Suite 200
Dearborn, MI 48124-2592
Phone (313) 724-2273

Other names 1

  • Vincent C Yu MD Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040107000599 MI Part B Supplier - Clinic/Group Practice 8325947443 Receives reassigned benefits from 2 practitioners
Practice locations: Dearborn, MI
O20100930078803 MI DME Supplier - Physician - Ophthalmology 8325947443 Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory

Locations

23550 Park St
Ste 200
Dearborn, MI 48124
Phone (313) 724-2273

23550 Park St
Ste 20
Dearborn, MI 48124
Phone (313) 724-2273

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1346441904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23550 PARK ST",
            "address_2": "SUITE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242592",
            "telephone_number": "313-724-2273",
            "fax_number": "313-724-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23550 PARK ST",
            "address_2": "SUITE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242592",
            "telephone_number": "313-724-2273",
            "fax_number": "313-724-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "VIAL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "313-724-2273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "17440000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vincent C Yu MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.