Active NPI
Diskin Diskin & Keoleian Dba Michigan Eye Institute
- Specialist
- Grand Blanc, MI
National Provider Identifier
1467885970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- GK407137
- Legal business name
- DISKIN DISKIN & KEOLEIAN DBA MICHIGAN EYE INSTITUTE
- Practice address
- 8275 Holly Rd
Suite 3
Grand Blanc, MI 48439-2442 - Phone
- (810) 694-8400
- Fax
- (810) 694-8564
- NPI assigned
- Aug 20, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Hayes
- Title
- Practice Administrator
- Phone
- (810) 733-7111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | GK407137 | MI | Primary |
Addresses
Primary practice location
8275 Holly Rd
Suite 3
Grand Blanc, MI 48439-2442
Mailing address
4499 Town Center Pkwy
Flint, MI 48532-3425
Phone (810) 733-7111
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2060719 | Michigan Eye Institute | Certificate of waiver | Jun 16, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Diskin Diskin Keoleian Dba Michigan Eye Institute
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Fenton, MI
- NPI 1871926279
-
- Specialist
- Flint, MI
- NPI 1871926543
-
- Specialist
- Lapeer, MI
- NPI 1992138168
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Flint, MI
- NPI 1003992652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376956800000",
"number": "1467885970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4499 TOWN CENTER PKWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485323425",
"telephone_number": "810-733-7111",
"fax_number": "810-733-7141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8275 HOLLY RD",
"address_2": "SUITE 3",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392442",
"telephone_number": "810-694-8400",
"fax_number": "810-694-8564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISKIN DISKIN & KEOLEIAN DBA MICHIGAN EYE INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-20",
"last_updated": "2013-08-20",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "810-733-7111",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MI",
"license": "GK407137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.