Eversight

Primary specialty

Eye BankTaxonomy code 332G00000X

Legal business name

EVERSIGHT

Practice address

4889 Venture Dr
Ann Arbor, MI 48108-9560

Phone

(734) 780-2100

Fax

(734) 887-2310

NPI assigned

Dec 21, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Michael O'Keefe, MBA

Title

Chief Operating Officer

Phone

(734) 887-2329

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1508372947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4889 VENTURE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089560",
            "telephone_number": "734-780-2100",
            "fax_number": "734-887-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4889 VENTURE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089560",
            "telephone_number": "734-780-2100",
            "fax_number": "734-887-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERSIGHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "O'KEEFE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "734-887-2329",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "332G00000X",
            "taxonomy_group": "",
            "desc": "Eye Bank",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.