Ogawa Macomb Eye Center, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

AO029327 Issued in MI

Legal business name

OGAWA MACOMB EYE CENTER, P.C.

Practice address

11900 12 Mile Road
Suite 206
Warren, MI 48093

Phone

(586) 558-5010

Fax

(586) 558-5013

NPI assigned

Apr 20, 2007

Last updated

Nov 19, 2008By 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

Nancy Barlog

Title

Manager

Phone

(586) 558-5010

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1952529588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 12 MILE ROAD",
            "address_2": "SUITE 206",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48093",
            "telephone_number": "586-558-5010",
            "fax_number": "586-558-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 12 MILE ROAD",
            "address_2": "SUITE 206",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48093",
            "telephone_number": "586-558-5010",
            "fax_number": "586-558-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGAWA MACOMB EYE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "BARLOG",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "586-558-5010"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "AO029327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P40293",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1805001581",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2878481",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of Michigan, P.C. (Concentra Medical Center)
• Occupational Health Centers of Michigan, P.C. (Concentra Medical Center)
• Anthony Joseph Oddo, D.O.
• Omar Odeh, PHARM.D.
• Malinda Odisho
• Donovan M Ogboh, DO
• Elaine Ognjanovski, D.O.
• Tae-Ju Oh, DDS MS
• Danielle Okelberry
• Michael Joseph Okros, DDS

• Ophthalmology Physician in Warren, MI
• Providers in Warren, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.