Cadillac Eye Clinic PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CADILLAC EYE CLINIC PC

Practice address

502 Cobb St
Cadillac, MI 49601-2577

Phone

(231) 775-1248

Fax

(231) 775-1156

NPI assigned

Dec 13, 2005

Organization subpart

No

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

Authorized official

Name

Richard Michael Brenz, MD

Title

President

Phone

(231) 775-1248

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1831174879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 COBBS ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012577",
            "telephone_number": "231-775-1248",
            "fax_number": "231-775-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012577",
            "telephone_number": "231-775-1248",
            "fax_number": "231-775-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADILLAC EYE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "BRENZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-775-1248",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "180H34653",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3255157",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cadillac After Hours Clinic PLLC
• Cadillac After Hours Continuing Care PLLC
• Cadillac Area Oasis Family Resource Center
• Cadillac Chiropractic Center PC
• Cadillac Emergency Physicians, P.C.
• Cadillac Eye Clinic, P.C.
• Cadillac Family Pharmacy LLC
• Cadillac Family Physicians, P.C.
• Cadillac Occupational Medicine
• Cadillac Oral Surgery Assoc

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

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

Verify at the official NPI Registry.