Abdella Eyecare, PC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

4901002484 Issued in MI

Legal business name

ABDELLA EYECARE, PC

Practice address

1356 S Linden Rd
Flint, MI 48532-4185

Phone

(810) 732-0202

NPI assigned

Sep 28, 2007

Last updated

Sep 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Philip Abdella, ODNPI 1487634929

Title

President

Phone

(810) 732-0202

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Philip Abdella, O.D.

  • Pediatric Optometrist
  • Flint, MI
  • NPI 1487634929
  Authorized official Same address or phone

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1871780338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324185",
            "telephone_number": "810-732-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324185",
            "telephone_number": "810-732-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDELLA EYECARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "ABDELLA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-732-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MI",
            "license": "4901002484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS",
            "identifier": "1094990001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "JA056550",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdel M Alajaj, M.D., P.C. (Abdel Alajaj, M.D.)
• Aladdin Abdel-Rahman, MD
• Nada Abdelazim Abdelbasit, M.D.
• Nazem Abdelfattah, MD
• Erika M Abdelhak, CHW
• John Philip Abdella, O.D.
• Hussein Abdellatif, M.D.
• Mohamad Hassan Abdul Azim
• Nour Abduljalil, DDS
• Abdullah Raffee MD. PC

• Corneal and Contact Management Optometrist in Flint, MI
• Providers in Flint, MI by specialty
• Corneal and Contact Management Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.