Organization Active NPI

Associated Eye Institutes of Detroit, PC

Doing business as yaldo eye center

  • Ophthalmology Physician
  • Detroit, MI
National Provider Identifier
1689685976
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ASSOCIATED EYE INSTITUTES OF DETROIT, PC
Doing business as
yaldo eye center
Practice address
65 Cadillac SQ
Ste 105
Detroit, MI 48226-2844
Phone
(313) 963-8411
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sandra Koch
Title
Biller
Phone
(313) 278-4540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

65 Cadillac SQ
Ste 105
Detroit, MI 48226-2844

Mailing address

65 Cadillac SQ
Ste 105
Detroit, MI 48226-2844
Phone (313) 963-8411

Other names 1

  • yaldo eye center Doing business as

National Provider Directory

National Provider Directory

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": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689685976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CADILLAC SQ",
            "address_2": "STE 105",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482262844",
            "telephone_number": "313-963-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CADILLAC SQ",
            "address_2": "STE 105",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482262844",
            "telephone_number": "313-963-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED EYE INSTITUTES OF DETROIT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "313-278-4540"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "yaldo eye center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.