Premier Eye Specialists PLLC

Primary specialty

Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X

Legal business name

PREMIER EYE SPECIALISTS PLLC

Practice address

1160 S Linden Rd
BLDG. 1 Ste. a
Flint, MI 48532

Phone

(810) 820-8230

Fax

(810) 820-8937

NPI assigned

Jun 15, 2018

Last updated

Dec 28, 2018By 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. Aman Shukairy, MDNPI 1205046331

Title

Owner

Phone

(810) 348-3580

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Aman Khaled Shukairy, MD

  • Ophthalmology Physician
  • Flint, MI
  • NPI 1205046331
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1942794797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 S. LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323508",
            "telephone_number": "810-820-8230",
            "fax_number": "810-820-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 S LINDEN RD",
            "address_2": "BLDG. 1 STE. A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48532",
            "telephone_number": "810-820-8230",
            "fax_number": "810-820-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER EYE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "SHUKAIRY",
        "authorized_official_first_name": "AMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-348-3580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Glaucoma Specialist (Ophthalmology) Physician in Flint, MI
• Providers in Flint, MI by specialty
• Glaucoma Specialist (Ophthalmology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.