Organization Active NPI

Yaldo Eye Centers PC

  • Ophthalmology Physician
  • Garden City, MI
National Provider Identifier
1487189254
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301051955 Issued in MI
Legal business name
YALDO EYE CENTERS PC
Practice address
31535 Ford Rd
Garden City, MI 48135-1821
Phone
(313) 278-4540
Fax
(313) 278-4541
NPI assigned
Apr 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Dr. Mazin Yaldo, M.D.
Title
President
Phone
(313) 278-4540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 4301051955 MI Primary

Addresses

Primary practice location

31535 Ford Rd
Garden City, MI 48135-1821

Mailing address

28501 Orchard Lake Rd
Farmington Hills, MI 48334-2951
Phone (248) 553-9800

Other identifiers 1

IdentifierTypeStateIssuer
1043221187OtherMIINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

31535 Ford Rd
Ste 100
Garden City, MI 48135
Phone (313) 278-4540

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1487189254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28501 ORCHARD LAKE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342951",
            "telephone_number": "248-553-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31535 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351821",
            "telephone_number": "313-278-4540",
            "fax_number": "313-278-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YALDO EYE CENTERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "YALDO",
        "authorized_official_first_name": "MAZIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-278-4540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301051955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1043221187",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.