NPIMap

Organization Active NPI

Mindlin-Koh Center for Ophthalmic Medicine and Surgery PC

Doing business as Michigan Ophthalmic Plastic Surgery

  • Ophthalmology Physician
  • Bloomfield Hills, MI
National Provider Identifier
1629084991
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MINDLIN-KOH CENTER FOR OPHTHALMIC MEDICINE AND SURGERY PC
Doing business as
Michigan Ophthalmic Plastic Surgery
Practice address
1750 S Telegraph Rd
Suite 303
Bloomfield Hills, MI 48302-0179
Phone
(248) 334-4906
NPI assigned
Jul 31, 2006
Last updated
Oct 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Susan Alterman
Title
Administrator
Phone
(248) 334-4906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1750 S Telegraph Rd
Suite 303
Bloomfield Hills, MI 48302-0179

Mailing address

1750 S Telegraph Rd
Suite 303
Bloomfield Hills, MI 48302-0179
Phone (248) 334-4906

Other names 1

  • Michigan Ophthalmic Plastic Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

1750 S Telegraph Rd
Ste 303
Bloomfield Hills, MI 48302
Phone (248) 334-4906

1701 Baldwin Ave
Ste 206
Pontiac, MI 48340
Phone (248) 334-4906

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1629084991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 S TELEGRAPH RD",
            "address_2": "SUITE 303",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020179",
            "telephone_number": "248-334-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 S TELEGRAPH RD",
            "address_2": "SUITE 303",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020179",
            "telephone_number": "248-334-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDLIN-KOH CENTER FOR OPHTHALMIC MEDICINE AND SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "ALTERMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-334-4906"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Ophthalmic Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michigan Ophthalmic Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.