Organization Active NPI

Novi Ophthalmology, PC

  • Ophthalmology Physician
  • Livonia, MI
National Provider Identifier
1508274663
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301078429 Issued in MI
Legal business name
NOVI OPHTHALMOLOGY, PC
Practice address
37595 7 Mile Rd Ste 310
Livonia, MI 48152-1003
Phone
(248) 534-5692
NPI assigned
Aug 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Authorized official

Name
Avninder Dhaliwal, MDNPI 1669417408
Title
President
Phone
(248) 534-5692

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 4301078429 MI Primary

Addresses

Primary practice location

37595 7 Mile Rd Ste 310
Livonia, MI 48152-1003

Mailing address

37595 7 Mile Rd Ste 310
Livonia, MI 48152-1003
Phone (248) 534-5692

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140827001648 MI Part B Supplier - Clinic/Group Practice 3072731405 Receives reassigned benefits from 2 practitioners
Practice locations: Livonia, MI; Novi, MI

National Provider Directory

National Provider Directory

Locations

37595 7 Mile Rd
Ste 410
Livonia, MI 48152
Phone (734) 288-3370

37595 7 Mile Rd
Livonia, MI 48152
Phone (734) 462-2300

26850 Providence Pkwy
Ste 310
Novi, MI 48374
Phone (248) 380-9630

Practitioners & affiliated clinicians

Practitioners 4

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": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1508274663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37595 7 MILE RD STE 310",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521003",
            "telephone_number": "248-534-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37595 7 MILE RD STE 310",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521003",
            "telephone_number": "248-534-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVI OPHTHALMOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "DHALIWAL",
        "authorized_official_first_name": "AVNINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-534-5692",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301078429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.