NPIMap

Organization Active NPI

Diskin Diskin & Keoleian Dba Michigan Eye Institute

  • Specialist
  • Fenton, MI
National Provider Identifier
1871926279
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
GK407137 Issued in MI
Legal business name
DISKIN DISKIN & KEOLEIAN DBA MICHIGAN EYE INSTITUTE
Practice address
16255 Silver Pkwy
Fenton, MI 48430-3428
Phone
(810) 629-7900
Fax
(810) 629-3937
NPI assigned
Aug 21, 2013
Last updated
Aug 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Mr. Brian Hayes
Title
Practice Administrator
Phone
(810) 733-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X GK407137 MI Primary

Addresses

Primary practice location

16255 Silver Pkwy
Fenton, MI 48430-3428

Mailing address

4499 Town Center Pkwy
Flint, MI 48532-3425
Phone (810) 733-7111

National Provider Directory

National Provider Directory
Tax ID family
Diskin Diskin Keoleian PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1871926279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 TOWN CENTER PKWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323425",
            "telephone_number": "810-733-7111",
            "fax_number": "810-733-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16255 SILVER PKWY",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303428",
            "telephone_number": "810-629-7900",
            "fax_number": "810-629-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISKIN DISKIN & KEOLEIAN DBA MICHIGAN EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "810-733-7111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "GK407137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.