Associated Eye Physicians of Dearborn PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ASSOCIATED EYE PHYSICIANS OF DEARBORN PC

Practice address

15212 Michigan Ave
Dearborn, MI 48126-3497

Phone

(313) 582-8856

Fax

(313) 582-8265

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stanley Chase Grandon, M.D.

Title

Director

Phone

(313) 582-8856

Specialties & licenses 2

Addresses

Other names 1

• Eye Surgery Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Cindy Wang, O.D.

  • Optometrist
  • Dearborn, MI
  • NPI 1679552525

  MI

  Medicare reassignment
• Alaina L Kronenberg, M.D.

  • Ophthalmology Physician
  • Dearborn, MI
  • NPI 1790731339

  Ophthalmology

  NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1386711547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15212 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263497",
            "telephone_number": "313-582-8856",
            "fax_number": "313-582-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15212 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263497",
            "telephone_number": "313-582-8856",
            "fax_number": "313-582-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED EYE PHYSICIANS OF DEARBORN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "GRANDON",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "CHASE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-582-8856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Surgery Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zahra Assad, FNP
• Leyla Assi, PHARMD
• Nemer Hassan Assi, BPH
• Assisted Health Services LLC
• Associated Eye Associates of Detroit, PC
• Associated Physicians of Dearborn, PLLC
• Associated Physicians of Southeast Michigan PC
• Associates in Radiation Oncology, PC
• Associates MD PLLC
• Asthma & Allergy Family Clinic PC

• Ophthalmology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.