Marvin Shulman MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MS033963 Issued in MI

Legal business name

MARVIN SHULMAN MD PC

Doing business as

The Lens Site

Practice address

16530 19 Mile Rd
Clinton TWP, MI 48038

Phone

(586) 286-5880

Fax

(586) 412-5027

NPI assigned

Oct 3, 2006

Last updated

Apr 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda Jager

Title

Biller

Phone

(586) 286-5880

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Lens Site Doing business as

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1528152808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16530 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-286-5880",
            "fax_number": "586-412-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16530 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-286-5880",
            "fax_number": "586-412-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN SHULMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "JAGER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "586-286-5880"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "MS033963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH0415",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "540E006980",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lens Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christena R Marshall
• Julie Marie Martel, MPT
• Cristina Marie Martin, MA, LPC
• Sharon Edith Martin, BS, SST
• Matthew T Martus, MA LLP
• Alexander N Masters, DDS
• Sophia Papasifakis Masters, DDS
• Lynn Louise Mathia, D.O.
• Mattar Chiropractic Clinic
• April Lynn Mauro I

• Ophthalmology Physician in Clinton TWP, MI
• Providers in Clinton TWP, 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 17, 2014; 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.