NPIMap

Organization Active NPI

Associated Eye Associates of Detroit, PC

  • Durable Medical Equipment & Medical Supplies
  • Detroit, MI
National Provider Identifier
1356496145
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ASSOCIATED EYE ASSOCIATES OF DETROIT, PC
Practice address
65 Cadillac SQ
Ste. 105
Detroit, MI 48226-2844
Phone
(313) 963-8411
Fax
(313) 963-8412
NPI assigned
Jan 24, 2007
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
Mazin Yaldo, MD
Title
President
Phone
(313) 963-8411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

65 Cadillac SQ
Ste. 105
Detroit, MI 48226-2844

Mailing address

65 Cadillac SQ
Ste. 105
Detroit, MI 48226-2844
Phone (313) 963-8411

Other names 1

  • Yaldo Eye Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Associated Eye Associates of Detroit PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

65 Cadillac Sq
Ste 105
Detroit, MI 48226
Phone (313) 963-8411

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356496145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CADILLAC SQ",
            "address_2": "STE. 105",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482262844",
            "telephone_number": "313-963-8411",
            "fax_number": "313-963-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CADILLAC SQ",
            "address_2": "STE. 105",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482262844",
            "telephone_number": "313-963-8411",
            "fax_number": "313-963-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED EYE ASSOCIATES OF DETROIT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YALDO",
        "authorized_official_first_name": "MAZIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-963-8411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yaldo Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, 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.