Active NPI
Eye Care Associates PC
- Ophthalmology Physician
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301021236
- Legal business name
- EYE CARE ASSOCIATES PC
- Practice address
- 26850 Providence Pkwy Ste 150
Novi, MI 48374-1254 - Phone
- (248) 380-8066
- Fax
- (248) 380-8087
- NPI assigned
- Oct 18, 2006
- 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
- Margaret Long
- Title
- Biller
- Phone
- (248) 380-8066
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301049740 | MI | |
| Ophthalmology Physician | 207W00000X | 4301021236 | MI | Primary |
| Ophthalmology Physician | 207W00000X | 4301070263 | MI |
Addresses
Primary practice location
26850 Providence Pkwy Ste 150
Novi, MI 48374-1254
Mailing address
26850 Providence Pkwy Ste 150
Novi, MI 48374-1254
Phone (248) 380-8066
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4370663 | Medicaid | MI | |
| 1735608 | Medicaid | MI | |
| 1099581 | Medicaid | MI | |
| 2863756 | Medicaid | MI | |
| 4370654 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Eye Care Associates PC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
26850 Providence Pkwy
Ste 150
Novi, MI 48374
Phone (248) 380-8066
47601 Grand River Ave
Ste A206
Novi, MI 48374
Phone (248) 380-8066
22250 Providence Dr
Ste 100
Southfield, MI 48075
Phone (248) 424-8637
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
- Novi, MI
- NPI 1083620074
-
- Ophthalmology Physician
- Novi, MI
- NPI 1124655501
-
- Ophthalmology Physician
- Novi, MI
- NPI 1952314122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568073600000",
"number": "1669553368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26850 PROVIDENCE PKWY STE 150",
"city": "NOVI",
"state": "MI",
"postal_code": "483741254",
"telephone_number": "248-380-8066",
"fax_number": "248-569-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26850 PROVIDENCE PKWY STE 150",
"city": "NOVI",
"state": "MI",
"postal_code": "483741254",
"telephone_number": "248-380-8066",
"fax_number": "248-380-8087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CARE ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2019-09-10",
"status": "A",
"authorized_official_last_name": "LONG",
"authorized_official_first_name": "MARGARET",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "248-380-8066"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301049740",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301021236",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301070263",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4370663",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1735608",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1099581",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2863756",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4370654",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.