NPIMap

Organization Active NPI

Trillium Eye Plastic Surgery, P.C.

  • Specialist
  • Okemos, MI
National Provider Identifier
1669640991
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301043309 Issued in MI
Legal business name
TRILLIUM EYE PLASTIC SURGERY, P.C.
Practice address
2211 Association Dr
Suite 100
Okemos, MI 48864-4902
Phone
(517) 381-8900
Fax
(517) 381-8830
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Mr. William Wallace Ehrlich, M.D.NPI 1073509857
Title
Owner
Phone
(517) 381-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4301043309 MI Primary

Addresses

Primary practice location

2211 Association Dr
Suite 100
Okemos, MI 48864-4902

Mailing address

2211 Association Dr
Suite 100
Okemos, MI 48864-4902
Phone (517) 381-8900

National Provider Directory

National Provider Directory

Locations

2211 Association Dr
Ste 100
Okemos, MI 48864
Phone (517) 381-8900

Practitioners & affiliated clinicians

Practitioners 1

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": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1669640991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 ASSOCIATION DR",
            "address_2": "SUITE 100",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644902",
            "telephone_number": "517-381-8900",
            "fax_number": "517-381-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 ASSOCIATION DR",
            "address_2": "SUITE 100",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644902",
            "telephone_number": "517-381-8900",
            "fax_number": "517-381-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM EYE PLASTIC SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "EHRLICH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-381-8900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301043309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.