Active NPI
Eyes on Health PC
- Ophthalmology Physician
- Hazel Park, MI
National Provider Identifier
1710399142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301092004
- Legal business name
- EYES ON HEALTH PC
- Practice address
- 22039 John R Rd
Hazel Park, MI 48030-1712 - Phone
- (248) 336-3937
- Fax
- (248) 336-3938
- NPI assigned
- May 20, 2014
- 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
- Dr. Emad Nakkash, M.D.
- Title
- President
- Phone
- (248) 336-3937
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4301092004 | MI | |
| Ophthalmology Physician | 207W00000X | 4301092004 | MI | Primary |
Addresses
Primary practice location
22039 John R Rd
Hazel Park, MI 48030-1712
Mailing address
PO Box 279
Hazel Park, MI 48030-0279
Phone (248) 336-3937
National Provider Directory
National Provider DirectoryPractitioners & 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": "1400544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400544000000",
"number": "1710399142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 279",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "480300279",
"telephone_number": "248-336-3937",
"fax_number": "248-336-3938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22039 JOHN R RD",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "480301712",
"telephone_number": "248-336-3937",
"fax_number": "248-336-3938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYES ON HEALTH PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-20",
"last_updated": "2014-05-20",
"status": "A",
"authorized_official_last_name": "NAKKASH",
"authorized_official_first_name": "EMAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-336-3937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MI",
"license": "4301092004",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301092004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazel Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.