Active NPI
DRS Rubin and Simonian PC
- Ophthalmology Physician
- Madison Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- DRS RUBIN AND SIMONIAN PC
- Doing business as
- AFFILIATED EYE SURGENS
- Practice address
- 1421 E. 12 Mile
BLDG. a
Madison Heights, MI 48071-2653 - Phone
- (248) 547-6656
- Fax
- (248) 547-5407
- NPI assigned
- Dec 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sidney K Simonian, D.O.
- Title
- Doctor
- Phone
- (248) 547-6656
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MI | Primary |
Addresses
Primary practice location
1421 E. 12 Mile
BLDG. a
Madison Heights, MI 48071-2653
Mailing address
1421 E. 12 Mile
BLDG. a
Madison Heights, MI 48071-2653
Phone (248) 547-6656
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139455411 | Medicaid | MI | |
| 8631110001 | Other | MI | MRPB |
| 180008618 | Other | MI | MRRR |
| 1856303004 | Other | MI | BCBS |
| 1856303004 | Other | MI | BCN |
Other names 1
- AFFILIATED EYE SURGENS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1421 E 12 Mile Rd
Bldg A
Madison Heights, MI 48071
Phone (248) 547-6656
1421 E 12 Mile Rd
Madison Heights, MI 48071
27483 Dequindre Rd
Ste 303B
Madison Hts, MI 48071
Phone (248) 541-6656
950 N Cass Lake Rd
Ste 104
Waterford, MI 48328
Phone (248) 681-4900
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Madison Heights, MI
- NPI 1902849045
-
- Ophthalmology Physician
- Madison Heights, MI
- NPI 1538457411
-
- Ophthalmology Physician
- Clarkston, MI
- NPI 1538154125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1548444565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 E. 12 MILE",
"address_2": "BLDG. A",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480712653",
"telephone_number": "248-547-6656",
"fax_number": "248-547-5407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 E. 12 MILE",
"address_2": "BLDG. A",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480712653",
"telephone_number": "248-547-6656",
"fax_number": "248-547-5407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS RUBIN AND SIMONIAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-27",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SIMONIAN",
"authorized_official_first_name": "SIDNEY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "248-547-6656",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139455411",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MRPB",
"identifier": "8631110001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MRRR",
"identifier": "180008618",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1856303004",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "1856303004",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AFFILIATED EYE SURGENS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madison Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.