NPIMap

Organization Active NPI

Richard C Mertz Jr MD PC

Doing business as Metropolitan Eye Center

  • Ophthalmology Physician
  • Saint Clair Shores, MI
National Provider Identifier
1467408914
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RICHARD C MERTZ JR MD PC
Doing business as
Metropolitan Eye Center
Practice address
21711 Greater Mack Ave
St Clair Shores, MI 48080-2418
Phone
(586) 774-0393
NPI assigned
May 26, 2006
Last updated
Jul 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Dr. James W Klein, MDNPI 1104828482
Title
Medical Director
Phone
(586) 774-0393

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 MI Primary

Addresses

Primary practice location

21711 Greater Mack Ave
St Clair Shores, MI 48080-2418

Mailing address

21711 Greater Mack Ave
St Clair Shores, MI 48080-2418
Phone (586) 774-0393

Other identifiers 1

IdentifierTypeStateIssuer
0218080001OtherMIDMERC

Other names 1

  • Metropolitan Eye Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050502000837 MI Part B Supplier - Clinic/Group Practice 3173562824 Receives reassigned benefits from 8 practitioners
Practice locations: Saint Clair Shores, MI

National Provider Directory

National Provider Directory
Tax ID family
Metropolitan Eye Ctr As2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

  • Richard C Mertz Jr MD PC

    dba Metropolitan Eye Center and Outpatient Surgical Facility

    • Ambulatory Surgical Clinic/Center
    • Saint Clair Shores, MI
    • NPI 1043395502
    NPD tax ID

Practitioners & affiliated clinicians

Practitioners 8

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1467408914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21711 GREATER MACK AVE",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802418",
            "telephone_number": "586-774-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21711 GREATER MACK AVE",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802418",
            "telephone_number": "586-774-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C MERTZ JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "586-774-0393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0218080001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metropolitan Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.