Joseph A. Ales, O.D.
Individual provider Active NPI Optometrist · Birmingham, MI
NPI 1871648436 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1871648436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901003073 (MI)
- Practice address
- 245 W Maple Rd
Birmingham, MI 48009-3337 - Phone
- (248) 646-6699
- Fax
- (248) 646-8825
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003073 | MI | Yes |
Addresses
Primary practice location
245 W Maple Rd
Birmingham, MI 48009-3337
Mailing address
2671 Sylvan Shores Dr
Waterford, MI 48328-3936
Phone (248) 706-1898
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4901003073 | Other | MI | OPTOMETRY LICENSE NUMBER |
Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.