Cadillac Eye Clinic, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

RB054351 Issued in MI

Legal business name

CADILLAC EYE CLINIC, P.C.

Practice address

502 Cobb St
Cadillac, MI 49601-2577

Phone

(231) 778-1248

NPI assigned

Jul 12, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Carol L Dolan

Title

Practice Manager

Phone

(231) 775-1248

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Michael Brenz, MD

  • Ophthalmology Physician
  • Cadillac, MI
  • NPI 1598742686
  NPD (past)

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1649535808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012577",
            "telephone_number": "231-778-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012577",
            "telephone_number": "231-778-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADILLAC EYE CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "231-775-1248",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "RB054351",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "RB054351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cadillac After Hours Continuing Care PLLC
• Cadillac Area Oasis Family Resource Center
• Cadillac Chiropractic Center PC
• Cadillac Emergency Physicians, P.C.
• Cadillac Eye Clinic PC
• Cadillac Family Pharmacy LLC
• Cadillac Family Physicians, P.C.
• Cadillac Occupational Medicine
• Cadillac Oral Surgery Assoc
• Cadillac Orthopaedics, PC

• Ophthalmology Physician in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.