Organization Active NPI

Eye Care Associates PC

  • Ophthalmology Physician
  • Novi, MI
National Provider Identifier
1669553368
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301021236 Issued in MI
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

Updated by the provider on Sep 10, 2019

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 4301049740 MI
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 4301021236 MI Primary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4370663MedicaidMI
1735608MedicaidMI
1099581MedicaidMI
2863756MedicaidMI
4370654MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031120000273 MI Part B Supplier - Clinic/Group Practice 5294639480 Receives reassigned benefits from 3 practitioners
Practice locations: Novi, MI
O20230811002561 MI DME Supplier - Physician - Ophthalmology 5294639480 Practice locations: Novi, MI

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Eye Care Associates PC26850 Providence Pkwy, Novi, MI 48374-1254(248) 380-8066 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Aug 1, 1995

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.