Active NPI
Benjamin H Stein OD Inc
- Optometrist
- Southfield, MI
National Provider Identifier
1760640718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BENJAMIN H STEIN OD INC
- Practice address
- 21500 Northwestern Hwy
Suite #635
Southfield, MI 48075-5018 - Phone
- (248) 569-2025
- Fax
- (248) 569-5103
- NPI assigned
- May 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stuart Alan Stein
- Title
- President/Sec. Treas.
- Phone
- (248) 569-2025
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
21500 Northwestern Hwy
Suite #635
Southfield, MI 48075-5018
Mailing address
21500 Northwestern Hwy
Suite #635
Southfield, MI 48075-5018
Phone (248) 569-2025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004585433 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
21500 Northwestern Hwy
#635
Southfield, MI 48075
Phone (248) 569-2025
21500 Northwestern Hwy
#63
Southfield, MI 48075
Phone (248) 569-2025
21500 Northwestern Hwy
Ste 635
Southfield, MI 48075
Phone (248) 569-2025
29911 Northwestern Hwy
Southfield, MI 48034
Phone (248) 569-2025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279065600000",
"number": "1760640718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21500 NORTHWESTERN HWY",
"address_2": "SUITE #635",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480755018",
"telephone_number": "248-569-2025",
"fax_number": "248-569-5103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21500 NORTHWESTERN HWY",
"address_2": "SUITE #635",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480755018",
"telephone_number": "248-569-2025",
"fax_number": "248-569-5103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENJAMIN H STEIN OD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-27",
"last_updated": "2010-07-14",
"status": "A",
"authorized_official_last_name": "STEIN",
"authorized_official_first_name": "STUART",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT/SEC. TREAS.",
"authorized_official_telephone_number": "248-569-2025",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004585433",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.