Organization Active NPI

Glaucoma Center of Michigan PC

  • Ophthalmology Physician
  • Southfield, MI
National Provider Identifier
1679520282
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GLAUCOMA CENTER OF MICHIGAN PC
Practice address
29201 Telegraph Rd
Suite 301
Southfield, MI 48034-1331
Phone
(248) 356-0098
Fax
(248) 356-0424
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Les I Siegel, M.D.NPI 1922083690
Title
President
Phone
(248) 356-0088

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

29201 Telegraph Rd
Suite 301
Southfield, MI 48034-1331

Mailing address

29201 Telegraph Rd Ste 301
Southfield, MI 48034-7646
Phone (248) 356-0098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060626000077 MI Part B Supplier - Clinic/Group Practice 5092727610 Receives reassigned benefits from 5 practitioners
Practice locations: Dearborn, MI; Southfield, MI; Rochester, MI; Saint Clair Shores, MI

National Provider Directory

National Provider Directory

Locations

1135 W University Dr
Ste 440
Rochester Hls, MI 48307
Phone (248) 218-5557

29201 Telegraph Rd
Ste 301
Southfield, MI 48034
Phone (248) 356-0098

21000 E 12 Mile Rd
Ste 108
St Clr Shores, MI 48081
Phone (248) 357-5100

Interoperability endpoints

  • Direct secure messaging: lsiegel@glaucomacenter.intellechartdirect.net
  • Direct secure messaging: srana@glaucomacenter.intellechartdirect.net
  • Direct secure messaging: mcitron@glaucomacenter.intellechartdirect.net
  • Direct secure messaging: michaelsiegel@glaucomacenter.intellechartdirect.net
  • Direct secure messaging: fridha@glaucomacenter.intellechartdirect.net
  • Direct secure messaging: marcsiegel@glaucomacenter.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 7

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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1679520282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 301",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347646",
            "telephone_number": "248-356-0098",
            "fax_number": "248-356-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD",
            "address_2": "SUITE 301",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341331",
            "telephone_number": "248-356-0098",
            "fax_number": "248-356-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA CENTER OF MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "LES",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-356-0088",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.