Yaldo Eye Centers PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301051955 Issued in MI

Legal business name

YALDO EYE CENTERS PC

Practice address

28501 Orchard Lake Rd
Farmington Hills, MI 48334-2951

Phone

(248) 553-9800

Fax

(248) 553-9808

NPI assigned

Mar 31, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mazin Yaldo, M.D.NPI 1043221187

Title

President

Phone

(248) 553-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Yaldo Eye Centers2 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.

• Yaldo Eye Centers PC

  • Durable Medical Equipment & Medical Supplies
  • Dearborn Heights, MI
  • NPI 1982993200
  NPD tax ID

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mazin K Yaldo, MD

  • Ophthalmology Physician
  • Farmington Hills, MI
  • NPI 1043221187
  Medicare reassignment Authorized official
• Michelle Kornblum, MD

  • Ophthalmology Physician
  • Livonia, MI
  • NPI 1093019465
  Medicare reassignment
• Dustin Colt Briscoe, O.D.

  • Optometrist
  • Woodbridge, VA
  • NPI 1407230774

  MI

  Medicare reassignment
• Mark Wesley Osorio, O.D.

  • Optometrist
  • Livonia, MI
  • NPI 1467666248
  NPD (past)
• Jeffrey E Rautio, O.D.

  • Optometrist
  • Northville, MI
  • NPI 1972754182
  NPD (past)
• Thomas C Spoor, MD

  • Ophthalmology Physician
  • Warren, MI
  • NPI 1982681086
  NPD (past)
• Rinku M Dutt, MD

  • Ophthalmology Physician
  • Greensburg, PA
  • NPI 1841277555
  NPD (past)
• Steven Charles Hadley, M.D.

  • Ophthalmology Physician
  • Panama City, FL
  • NPI 1932113610
  NPD (past)
• Christian G Khairallah, MD

  • Ophthalmology Physician
  • Grand Forks, ND
  • NPI 1306057450
  NPD (past)
• Sarah Khodadadeh, MD, MS

  • Ophthalmology Physician
  • Vero Beach, FL
  • NPI 1467642371
  NPD (past)
• Rajesh Rangaraj, MD

  • Ophthalmology Physician
  • Marietta, GA
  • NPI 1528079878
  NPD (past)

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1487979647",
    "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",
            "fax_number": "248-553-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28501 ORCHARD LAKE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342951",
            "telephone_number": "248-553-9800",
            "fax_number": "248-553-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YALDO EYE CENTERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "YALDO",
        "authorized_official_first_name": "MAZIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-553-9800",
        "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": []
}

• Julia Yakibchuk
• Venkata Yakkala
• Atheel Yako, DO
• Marilyn Yakuta Rivera
• Jyothsna Yalavarthi, MD
• Christina Yaldo, OT
• Ikhlas Yaldo
• Mazin K Yaldo, MD
• Lauren Yaldoo
• Melanie M Yaldoo, FNP-C

• Ophthalmology Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.