Michigan Glaucoma Institute PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MICHIGAN GLAUCOMA INSTITUTE PC

Practice address

24430 Ford Rd
Dearborn Heights, MI 48127-3280

Phone

(313) 278-4540

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Sandra Koch

Title

Biller

Phone

(313) 278-4540

Specialties & licenses 1

Addresses

Other names 1

• yaldo eye center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mazin K Yaldo, MD

  • Ophthalmology Physician
  • Farmington Hills, MI
  • NPI 1043221187
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972514248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24430 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273280",
            "telephone_number": "313-278-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24430 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273280",
            "telephone_number": "313-278-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN GLAUCOMA INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "313-278-4540"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "yaldo eye center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolynn Meredith Metz, LPC, CAADC, CCS-R
• William Michels III, D.O.
• Michigan Dental Associates II PC
• Michigan First Medical Group PLC
• Michigan First Urgent Care PLC
• Michigan Institute of Vascular and Interventional Radiology, PLLC
• Michigan Primary Care Center PC
• Michigan Rehabilitation Center LLC
• Michigan Sleep Network, P.C.
• Michigan Sports Medicine PC

• Ophthalmology Physician in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.