Organization Active NPI

Charlotte Liioi Hartzell, M.D., P.C.

  • Ophthalmology Physician
  • Troy, MI
National Provider Identifier
1801081450
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301052708 Issued in MI
Legal business name
CHARLOTTE LIIOI HARTZELL, M.D., P.C.
Practice address
2877 Crooks Rd
Suite B
Troy, MI 48084-4717
Phone
(313) 318-8205
NPI assigned
Sep 6, 2007
Last updated
Feb 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Authorized official

Name
Dr. Charlotte Liioi Hartzell, M.D.
Title
President
Phone
(313) 884-2009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301052708 MI Primary

Addresses

Primary practice location

2877 Crooks Rd
Suite B
Troy, MI 48084-4717

Mailing address

515 Heather LN
Grosse Pointe Woods, MI 48236-1509
Phone (313) 884-2009

Other identifiers 1

IdentifierTypeStateIssuer
1806361411OtherMIBCBSM OF MICIGAN

National Provider Directory

National Provider Directory

Locations

31500 Telegraph Rd
Ste 005
Bingham Farms, MI 48025
Phone (248) 594-6702

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1801081450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 HEATHER LN",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361509",
            "telephone_number": "313-884-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2877 CROOKS RD",
            "address_2": "SUITE B",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844717",
            "telephone_number": "313-318-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE LIIOI HARTZELL, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "LIIOI HARTZELL",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-884-2009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301052708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM OF MICIGAN",
            "identifier": "1806361411",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.