NPIMap

Organization Active NPI

Associated Eye Associates of Detroit, PC

  • Durable Medical Equipment & Medical Supplies
  • Dearborn, MI
National Provider Identifier
1811023971
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ASSOCIATED EYE ASSOCIATES OF DETROIT, PC
Practice address
13306 Michigan Ave
Dearborn, MI 48126-3541
Phone
(313) 846-8877
NPI assigned
Feb 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mazin Yaldo, MD
Title
President
Phone
(313) 278-4540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

13306 Michigan Ave
Dearborn, MI 48126-3541

Mailing address

65 Cadillac SQ
105
Detroit, MI 48226-2844
Phone (313) 963-8411

Other identifiers 1

IdentifierTypeStateIssuer
1195360001OtherMISUPPLIER NUMBER

Other names 1

  • Yaldo Eye Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Associated Eye Associates of Detroit PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13306 Michigan Ave
Dearborn, MI 48126
Phone (313) 846-8877

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811023971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CADILLAC SQ",
            "address_2": "105",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482262844",
            "telephone_number": "313-963-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13306 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263541",
            "telephone_number": "313-846-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED EYE ASSOCIATES OF DETROIT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YALDO",
        "authorized_official_first_name": "MAZIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-278-4540",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER NUMBER",
            "identifier": "1195360001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yaldo Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.