Organization Active NPI

Jeffrey S. Rohr, D.O., PC

  • Ophthalmology Physician
  • Grand Blanc, MI
National Provider Identifier
1992735658
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5101012835 Issued in MI
Legal business name
JEFFREY S. ROHR, D.O., PC
Practice address
2240 E Hill Rd Ste D
Grand Blanc, MI 48439-5420
Phone
(810) 579-0202
Fax
(810) 579-0204
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Lisa Drayton
Title
Office Manager
Phone
(810) 579-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 5101012835 MI Primary

Addresses

Primary practice location

2240 E Hill Rd Ste D
Grand Blanc, MI 48439-5420

Mailing address

2240 E Hill Rd
D
Grand Blanc, MI 48439-5420
Phone (810) 579-0202

Other identifiers 2

IdentifierTypeStateIssuer
180B513490OtherMIBLUE CROSS AND BLUE SHIEL
4252688MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1992735658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 E HILL RD",
            "address_2": "D",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395420",
            "telephone_number": "810-579-0202",
            "fax_number": "810-579-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 E HILL RD STE D",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395420",
            "telephone_number": "810-579-0202",
            "fax_number": "810-579-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S. ROHR, D.O., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "DRAYTON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-579-0202"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101012835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "180B513490",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4252688",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.