Active NPI
Northwest Eye Foundation
- Ophthalmology Physician
- Detroit, MI
National Provider Identifier
1669406641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- NORTHWEST EYE FOUNDATION
- Practice address
- 6071 W Outer Dr
Suite M-106
Detroit, MI 48235-2624 - Phone
- (313) 966-2024
- Fax
- (313) 966-7418
- NPI assigned
- Jul 10, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Mark S Juzych, MD
- Title
- Manager
- Phone
- (313) 577-8900
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
National Provider Directory
National Provider DirectoryLocations
6071 W Outer Dr
Ste M106
Detroit, MI 48235
Phone (248) 329-0169
14800 W McNichols Rd
Ste 314
Detroit, MI 48235
Phone (313) 493-5151
14800 W McNichols Rd
#314
Detroit, MI 48235
Phone (313) 493-5151
6001 W Outer Dr
Ste 202
Detroit, MI 48235
Phone (313) 966-1045
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6071 W Outer Dr
Suite M-106
Detroit, MI 48235-2624
Mailing address
1560 E. Maple Rd.
Suite 400-Credentialing
Troy, MI 48083-1189
Phone (248) 581-5973
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0H21796 | Other | MI | BCBSM GROUP# |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2014.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412208000000",
"number": "1669406641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E. MAPLE RD.",
"address_2": "SUITE 400-CREDENTIALING",
"city": "TROY",
"state": "MI",
"postal_code": "480831189",
"telephone_number": "248-581-5973",
"fax_number": "248-581-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6071 W OUTER DR",
"address_2": "SUITE M-106",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352624",
"telephone_number": "313-966-2024",
"fax_number": "313-966-7418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST EYE FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2014-10-02",
"status": "A",
"authorized_official_last_name": "JUZYCH",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "313-577-8900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GROUP#",
"identifier": "0H21796",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
- Northstar Home Medical Equipment Inc.
- Northwest Dental Clinic, PLLC
- Northwest Detroit Dialysis Center, LLC
- Northwest Drug Rehabilitation Inc
- Northwest Eye Foundation
- Northwest Housecall Doctor & Nurse Practitioners
- Northwest Industrail Drug Rehabilitation Clinic
- Northwest Industrial and Medical Services PC
- Northwest Industrial Drug Rehabilitation Clinic
- Northwest Mi Opco LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.