Individual provider Active NPI

Eric Jay Zuckerman, D.O.

  • Ophthalmology Physician
  • Livonia, MI
National Provider Identifier
1639233828
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5101008022 Issued in MI
Practice address
20210 Farmington Rd
Livonia, MI 48152-1412
Phone
(248) 476-4130
Fax
(248) 476-2540
NPI assigned
Dec 21, 2006
Last updated
Mar 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 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 5101008022 MI Primary

Addresses

Primary practice location

20210 Farmington Rd
Livonia, MI 48152-1412

Mailing address

20210 Farmington Rd
Livonia, MI 48152-1412
Phone (248) 476-4130

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
I20080314000501 MI Practitioner - Ophthalmology 5597840579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M. Hanif Peracha , M.D. , P.C.Group PAC ID 5193743078, 5 clinicians

Practice addresses (Care Compare)

20210 Farmington Rd
Livonia, MI 48152-1412
Phone (248) 476-4130

Merit-based Incentive Payment System (MIPS)

Final score
92.97 of 100Reported as group
Quality
97.77
Improvement activities
40
Cost
79.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101008022MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M. Hanif Peracha , M.D. , P.C. Ophthalmology CurrentSince Jun 1, 2021 Accepting new patients

Locations

8538 N Canton Center Rd
Canton, MI 48187
Phone (734) 459-1111

20210 Farmington Rd
Livonia, MI 48152
Phone (248) 476-4130

725 N Monroe St
Monroe, MI 48162
Phone (313) 242-2727

Interoperability endpoints

  • Direct secure messaging: eric.zuckerman.1@11987.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1639233828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20210 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521412",
            "telephone_number": "248-476-4130",
            "fax_number": "248-476-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20210 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521412",
            "telephone_number": "248-476-4130",
            "fax_number": "248-476-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKERMAN",
        "first_name": "ERIC",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101008022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.