Northwest Eye Physicians, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NORTHWEST EYE PHYSICIANS, P.C.

Practice address

22250 Providence Dr
Suite 304
Southfield, MI 48075-4825

Phone

(248) 569-4366

Fax

(248) 569-4614

NPI assigned

Apr 13, 2006

Last updated

Jul 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tobias Valentine George, M.D.NPI 1518929793

Title

President

Phone

(248) 682-8688

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Northwest Eye Physicians, P.C.

  • Eyewear Supplier
  • Novi, MI
  • NPI 1306269436

  1951295427

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Northwest Eye Physicians, P.C.

  • Eyewear Supplier
  • Novi, MI
  • NPI 1306269436

  O20100112000644

  Same enrollment

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tobias Valentine George, M.D.

  • Ophthalmology Physician
  • Southfield, MI
  • NPI 1518929793
  Medicare reassignment Care Compare group NPD Authorized official
• Kenneth Alan Stein, O.D.

  • Optometrist
  • West Bloomfield, MI
  • NPI 1760510630
  Medicare reassignment Care Compare group NPD
• Christopher David Theodoroff, O.D.

  • Optometrist
  • Warren, MI
  • NPI 1982611745
  Medicare reassignment Care Compare group NPD
• Mary Jo Elnick, MD

  • Ophthalmology Physician
  • Southfield, MI
  • NPI 1164404471
  Medicare reassignment Care Compare group
• Sayeeda Fatima, M.D.

  • Ophthalmology Physician
  • Rochester, MI
  • NPI 1609134303
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1740244037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR",
            "address_2": "SUITE 304",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754825",
            "telephone_number": "248-569-4366",
            "fax_number": "248-569-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR",
            "address_2": "SUITE 304",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754825",
            "telephone_number": "248-569-4366",
            "fax_number": "248-569-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST EYE PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "TOBIAS",
        "authorized_official_middle_name": "VALENTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-682-8688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUE SHIELD NUM",
            "identifier": "18OF372710",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Counseling & Psycotherapy Center
• Northwest Critical Care Surgeons, PLLC
• Northwest Dermatolgy Group, PC
• Northwest Detroit Dialysis Center LLC
• Northwest Detroit Dialysis Center LLC
• Northwest Home Health Services Inc (Metro Home Care)
• Northwest Neurology PC (Northwest Neurology and Neurodiagnostic Center)
• Northwest Ophthalmology,PC
• Northwest Surgical Associates PC
• Northwestern Psychiatry & Counseling Center PC

• Ophthalmology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.