Organization Active NPI

Eyes on Health PC

  • Ophthalmology Physician
  • Hazel Park, MI
National Provider Identifier
1710399142
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301092004 Issued in MI
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

Updated by the provider on May 20, 2014

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

Authorized official

Name
Dr. Emad Nakkash, M.D.NPI 1003899774
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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 4301092004 MI
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 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": "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.

Verify at the official NPI Registry.