Mercy Eye Institute, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MERCY EYE INSTITUTE, LLC

Practice address

1180 N Monroe St
Monroe, MI 48162-3190

Phone

(734) 243-5300

Fax

(734) 243-9956

NPI assigned

Mar 25, 2010

Organization subpart

Yes

Parent organization

MERCY HEALTH PARTNERSAs reported in NPPES

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

Authorized official

Name

Todd M Warner

Title

Regional Cfo

Phone

(419) 251-2130

Specialties & licenses 2

Addresses

Other names 1

• MERCY EYE CENTER Doing business as

Part of

Mercy Health North LLC

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1972827558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "address_2": "4TH FLOOR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047101",
            "telephone_number": "419-251-2673",
            "fax_number": "419-251-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623190",
            "telephone_number": "734-243-5300",
            "fax_number": "734-243-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY EYE INSTITUTE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH PARTNERS",
        "enumeration_date": "2010-03-25",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGIONAL CFO",
        "authorized_official_telephone_number": "419-251-2130"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY EYE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John E Melonakos, RPH
• Tina K Melonakos, RPH PHARMD
• Mubeen A Memon, M.D.
• Susan Jean Menard, CNP
• Kaleigh Norma Mender
• Mercy Health Urgent Care Mi PLLC
• Mercy Memorial Hospital Corporatio
• Mercy Memorial Hospital Corporatio
• Mercy Memorial Hospital Corporation
• Mercy Memorial Hospital Corporation

• All providers in Monroe, MI
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.