Organization Active NPI

Tait Eye, PLLC

  • Ophthalmology Physician
  • Sterling Heights, MI
National Provider Identifier
1912186255
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ST074678 Issued in MI
Legal business name
TAIT EYE, PLLC
Practice address
44344 Dequindre
110
Sterling Heights, MI 48314
Phone
(586) 726-2020
Fax
(586) 726-2021
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Dr. Stephen Tait, M.D., P.H.D.
Title
Physician
Phone
(586) 726-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ST074678 MI Primary

Addresses

Primary practice location

44344 Dequindre
110
Sterling Heights, MI 48314

Mailing address

44344 Dequindre
110
Sterling Heights, MI 48314
Phone (586) 726-2020

Other identifiers 1

IdentifierTypeStateIssuer
4528043MedicaidMI

National Provider Directory

National Provider Directory

Locations

15590 W 13 Mile Rd
Ste A
Beverly Hills, MI 48025
Phone (248) 283-1115

15959 Hall Rd
Ste 202
Macomb, MI 48044
Phone (586) 247-5959

44199 Dequindre Rd
Ste 318
Troy, MI 48085
Phone (248) 964-2020

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1912186255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44344 DEQUINDRE",
            "address_2": "110",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48314",
            "telephone_number": "586-726-2020",
            "fax_number": "586-726-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44344 DEQUINDRE",
            "address_2": "110",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48314",
            "telephone_number": "586-726-2020",
            "fax_number": "586-726-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAIT EYE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "TAIT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "586-726-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.H.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "ST074678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4528043",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.