Individual provider Active NPI

Jeffrey Nestor, D.O.

  • Ophthalmology Physician
  • Livonia, MI
National Provider Identifier
1528022068
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5101008206 Issued in MI
Practice address
28900 Joy Rd
Livonia, MI 48150-4031
Phone
(734) 425-2514
Fax
(734) 425-8211
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 5101008206 MI Primary

Addresses

Primary practice location

28900 Joy Rd
Livonia, MI 48150-4031

Mailing address

28900 Joy Rd
Livonia, MI 48150-4031
Phone (734) 425-2514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100630000629 MI Practitioner - Ophthalmology 6406987783 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101008206MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aggarwal Ophthalmology Ophthalmology CurrentSince Jun 7, 2021 Accepting new patients

Locations

28900 Joy Rd
Livonia, MI 48150
Phone (313) 425-2514

10501 Telegraph Rd
Ste 102
Taylor, MI 48180
Phone (313) 292-3500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1528022068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28900 JOY RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481504031",
            "telephone_number": "734-425-2514",
            "fax_number": "734-425-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28900 JOY RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481504031",
            "telephone_number": "734-425-2514",
            "fax_number": "734-425-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTOR",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101008206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.