Organization Active NPI

Ophthalmology Aquisition PLC

  • Ophthalmology Physician
  • New Baltimore, MI
National Provider Identifier
1730353335
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OPHTHALMOLOGY AQUISITION PLC
Practice address
36821 Green St
New Baltimore, MI 48047-1607
Phone
(586) 716-0538
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Kathy Hubchik
Title
Billing
Phone
(734) 207-1690

Specialties & licenses 1

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

Addresses

Primary practice location

36821 Green St
New Baltimore, MI 48047-1607

Mailing address

36821 Green St
New Baltimore, MI 48047-1607
Phone (586) 716-0538

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080501000712 MI Part B Supplier - Clinic/Group Practice 0840379863 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton TWP, MI; Mt Clemons, MI; New Baltimore, MI; Royal Oak, MI

National Provider Directory

National Provider Directory

Locations

36821 Green St
New Baltimore, MI 48047
Phone (586) 716-0538

36640 Green St
New Baltimore, MI 48047
Phone (586) 716-4959

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": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1730353335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36821 GREEN ST",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480471607",
            "telephone_number": "586-716-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36821 GREEN ST",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480471607",
            "telephone_number": "586-716-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY AQUISITION PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "HUBCHIK",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "734-207-1690"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Baltimore, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.