Michigan Ophthalmology Specialists, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MICHIGAN OPHTHALMOLOGY SPECIALISTS, PLLC

Practice address

16530 19 Mile Rd
Clinton TWP, MI 48038-1106

Phone

(586) 765-0775

NPI assigned

Jun 30, 2022

Organization subpart

No

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

Authorized official

Name

Beverly Zwicker

Title

Credentialing Manager

Phone

(248) 395-5166

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1730811449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30150 TELEGRAPH RD STE 271",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254521",
            "telephone_number": "248-395-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16530 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381106",
            "telephone_number": "586-765-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN OPHTHALMOLOGY SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "ZWICKER",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "248-395-5166"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael E. Simony D.D.S.P.C.
• Michael F Wind DO PC
• Michael J. Ramos DDS & Erik P. Feinauer DDS P.L.L.C.
• Michigan Neurology Associates DME
• Michigan Neurology Associates, P.C.
• Julie G Middlin, AT/ATC, CSCS, CES
• Harry C Mighion, DDS
• Bradley Loren Mikon, LLMSW
• Patricia L. Milani, M.D.
• Monika Milenkoski

• Ophthalmology Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.