NPIMap

Organization Active NPI

Neo Oculoplastic P.C.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Northville, MI
National Provider Identifier
1740056589
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
Legal business name
NEO OCULOPLASTIC P.C.
Practice address
44067 Greenview LN
Northville, MI 48168-8454
Phone
(734) 673-2946
NPI assigned
Dec 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Tina Mirchev
Title
Credentialing Specialist
Phone
(734) 673-2946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0200X Primary

Addresses

Primary practice location

44067 Greenview LN
Northville, MI 48168-8454

Mailing address

44067 Greenview LN
Northville, MI 48168-8454
Phone (734) 673-2946

National Provider Directory

National Provider Directory
Tax ID family
Neo Oculoplastic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1740056589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44067 GREENVIEW LN",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688454",
            "telephone_number": "734-673-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44067 GREENVIEW LN",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688454",
            "telephone_number": "734-673-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEO OCULOPLASTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "MIRCHEV",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "734-673-2946"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.