Southland Eye Clinic, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301034114 Issued in MI

Legal business name

SOUTHLAND EYE CLINIC, P.C.

Practice address

15055 S Plaza Dr
Taylor, MI 48180-5202

Phone

(734) 287-2666

Fax

(734) 287-3864

NPI assigned

Dec 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marilyn K. Belamaric, M.D.NPI 1538121884

Title

Owner/Director

Phone

(734) 287-2666

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marilyn K. Belamaric, M.D. Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Bussey, O.D.

  • Optometrist
  • Taylor, MI
  • NPI 1245528363
  Medicare reassignment Care Compare group NPD
• Marilyn K Belamaric, M.D.

  • Ophthalmology Physician
  • Taylor, MI
  • NPI 1538121884
  Medicare reassignment Authorized official
• Julie B Reno, M.D.

  • Ophthalmology Physician
  • Taylor, MI
  • NPI 1366403925
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1740464775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15055 S PLAZA DR",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805202",
            "telephone_number": "734-287-2666",
            "fax_number": "734-287-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15055 S PLAZA DR",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805202",
            "telephone_number": "734-287-2666",
            "fax_number": "734-287-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND EYE CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "BELAMARIC",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "734-287-2666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301034114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM9106",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marilyn K. Belamaric, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Markesha Lynn Smith
• Sobh RX LLC
• Mahmoud Mohamad Sobh, RPH
• Phillip Solgot
• Southeast Michigan Community Alliance
• Erika Sparkman, FNP-C
• Laura Ann Spears, RN
• Special Care Service 2 Inc.
• Special Care Services LLC
• Patricia Spence, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.