Active NPI
Charlotte Liioi Hartzell, M.D., P.C.
- Ophthalmology Physician
- Troy, MI
National Provider Identifier
1801081450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301052708
- 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, 2009
- 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
- Dr. Charlotte Liioi Hartzell, M.D.
- Title
- President
- Phone
- (313) 884-2009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1806361411 | Other | MI | BCBSM OF MICIGAN |
National Provider Directory
National Provider DirectoryLocations
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.