NPIMap

Organization Active NPI

Detroit Eye Care

  • Specialist
  • Southfield, MI
National Provider Identifier
1376657882
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301030653 Issued in MI
Legal business name
DETROIT EYE CARE
Practice address
20755 Greenfield Rd
Suite 100
Southfield, MI 48075-5403
Phone
(248) 552-8100
Fax
(248) 552-5038
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Dr. M. Adams Hall, M.D.
Title
President
Phone
(248) 552-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4301030653 MI Primary

Addresses

Primary practice location

20755 Greenfield Rd
Suite 100
Southfield, MI 48075-5403

Mailing address

20755 Greenfield Rd
Suite 100
Southfield, MI 48075-5403
Phone (248) 552-8100

Other identifiers 1

IdentifierTypeStateIssuer
1080991MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1376657882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20755 GREENFIELD RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755403",
            "telephone_number": "248-552-8100",
            "fax_number": "248-552-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20755 GREENFIELD RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755403",
            "telephone_number": "248-552-8100",
            "fax_number": "248-552-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "ADAMS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-552-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301030653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1080991",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.