Organization Active NPI

Burman & Zuckerbrod Ophthalmology Associates, PC

Doing business as GNB Optical Detroit

  • Optician
  • Detroit, MI
National Provider Identifier
1508054230
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
BURMAN & ZUCKERBROD OPHTHALMOLOGY ASSOCIATES, PC
Doing business as
GNB Optical Detroit
Practice address
14400 W McNichols Rd
Detroit, MI 48235-3916
Phone
(313) 341-3450
Fax
(313) 341-2135
NPI assigned
Oct 9, 2007
Organization subpart
Yes
Parent organization
BURMAN & ZUCKERBROD OPHTHALMOLOGY ASSOCIATES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Mrs. Estela K Burman
Title
Administrator
Phone
(313) 341-3450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X MI Primary

Addresses

Primary practice location

14400 W McNichols Rd
Detroit, MI 48235-3916

Mailing address

14400 W McNichols Rd
Detroit, MI 48235-3916
Phone (313) 341-3450

Other identifiers 1

IdentifierTypeStateIssuer
1798751MedicaidMI

Other names 1

  • GNB OPTICAL DETROIT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191206001368 MI DME Supplier - Optician 2466410840 Practice locations: Detroit, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2085592Burman & Zuckerbrod Ophthalmology Associates, PC14400 W McNichols Road, Detroit, MI 48235Certificate of waiverOct 16, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Burman & Zuckerbrod Ophthalmology a14400 W McNichols Rd, Detroit, MI 48235-3916(313) 341-3450 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jul 1, 2004

National Provider Directory

National Provider Directory
Tax ID family
Alan K Rice2 organizations share this tax ID, including this one
Part of
Alan K Rice

Other organizations with this tax ID 1

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

Locations

14400 W McNichols Rd
Detroit, MI 48235
Phone (313) 341-3450

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1508054230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353916",
            "telephone_number": "313-341-3450",
            "fax_number": "313-341-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353916",
            "telephone_number": "313-341-3450",
            "fax_number": "313-341-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURMAN & ZUCKERBROD OPHTHALMOLOGY ASSOCIATES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BURMAN & ZUCKERBROD OPHTHALMOLOGY ASSOCIATES, PC",
        "enumeration_date": "2007-10-09",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "BURMAN",
        "authorized_official_first_name": "ESTELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-341-3450",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1798751",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GNB OPTICAL DETROIT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.