Active NPI
Yaldo Eye Centers PC
- Ophthalmology Physician
- Garden City, MI
National Provider Identifier
1487189254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301051955
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043221187 | Other | MI | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryLocations
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.