Organization Active NPI

Aggarwal Ophthalmology

  • Ophthalmology Physician
  • Taylor, MI
National Provider Identifier
1386915635
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301092928 Issued in MI
Legal business name
AGGARWAL OPHTHALMOLOGY
Practice address
10501 Telegraph Rd Ste 102
Taylor, MI 48180-3376
Phone
(313) 228-5341
NPI assigned
Jan 18, 2012
Last updated
Nov 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Dr. Himanshu Aggarwal, MDNPI 1356505010
Title
Director
Phone
(248) 790-5380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301092928 MI Primary

Addresses

Primary practice location

10501 Telegraph Rd Ste 102
Taylor, MI 48180-3376

Mailing address

10501 Telegraph Rd Ste 102
Taylor, MI 48180-3376
Phone (313) 228-5341

Other practice location 1

10474 W Jefferson Ave
River Rouge, MI 48218-1338
Phone (248) 790-5380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120806000062 MI Part B Supplier - Clinic/Group Practice 6901052075 Receives reassigned benefits from 4 practitioners
Practice locations: Livonia, MI; Taylor, MI

National Provider Directory

National Provider Directory

Locations

28900 Joy Rd
Livonia, MI 48150
Phone (313) 425-2514

10474 W Jefferson Ave
River Rouge, MI 48218
Phone (248) 626-2767

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1386915635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 TELEGRAPH RD STE 102",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803376",
            "telephone_number": "313-228-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 TELEGRAPH RD STE 102",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803376",
            "telephone_number": "313-228-5341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10474 W Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "River Rouge",
            "state": "MI",
            "postal_code": "482181338",
            "country_code": "US",
            "telephone_number": "248-790-5380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AGGARWAL OPHTHALMOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "HIMANSHU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-790-5380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301092928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.