LAKE LAZER EYE CENTER PC (NPI# 1003951575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003951575 |
| Entity Type | Organization |
| Organization Name | LAKE LAZER EYE CENTER PC |
| Practice Address |
35776 Harper Ave Clinton Twp MI 48035-3212 |
| Practice Telephone | 5867923891 |
| Mailing Telephone | 5867923891 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | DR. SHABBIR KHAMBATI (PRESIDENT) |
| Authorized Official Telephone | 5867923891 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4606945 | 05 | |
| MI | BLUE CROSS BLUE SHIELD | 0501160 | 01 |
| Street Address |
35776 HARPER AVE |
| City | CLINTON TWP |
| State | MI |
| Zip Code | 48035-3212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155950 | Convenient Ct PC | Dentist | 35992 S. Gratiot Ave, Clinton Twp, MI 48035 | 2019-07-10 |
| 1962974402 | Care Continuum, LLC | Physical Therapist | 35746 Harper Avenue, Clinton Twp, MI 48035 | 2018-12-21 |
| 1093233884 | Justin Scott Lemanski | Student in an Organized Health Care Education/Training Program | 23162 Talbot, Cinton Twp., MI 48035 | 2017-08-31 |
| 1689035842 | Audionet America Inc | Audiologist | 33830 Harper Ave, Clinton Twp, MI 48035 | 2016-03-16 |
| 1194149054 | Cherian Kochuparampil | Behavioral Analyst | 23195 Elmira, Clinton Township, MI 48035 | 2014-02-13 |
| 1417255688 | Laura Christine Miller | Speech-Language Pathologist | 21173 Suffolk St, Clinton Township, MI 48035 | 2011-03-11 |
| 1780987404 | Cindy Sue Rodammer | Physical Therapy Assistant | 35746 Harper, Clinton Twp, MI 48035 | 2010-12-20 |
| 1427376953 | Heather Kuczynski | Physical Therapy Assistant | 35746 Harper St, Clinton Twp., MI 48035 | 2010-05-07 |
| 1023280542 | Douglas Shore & Sylvia Voelker Ptrs | Psychologist | 34605 Harper Avenue, Clinton Township, MI 48035 | 2008-03-25 |
| 1891964292 | Adam Gregg Feinstein | Neuromusculoskeletal Medicine & OMM | 36397 Harper Ave, Clinton Township, MI 48035 | 2008-02-29 |
| Find all providers in zip 48035 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164733614 | Benjamin Monson | Ophthalmology | 42524 Hayes Rd Ste 400, Clinton Twp, MI 48038-3643 | 2010-06-30 |
| 1104938257 | Shabbir Khambati | Ophthalmology | 35426 Harper Ave, Clinton Twp, MI 48035-3205 | 2006-08-31 |
| 1376547810 | Marvin Shulman | Ophthalmology | 16530 19 Mile Rd, Clinton Twp, MI 48038-1106 | 2005-06-13 |
| 1639320369 | Lawrence Handler Md PC | Ophthalmology | 43421 Garfield Rd, Suite 7, Clinton Twp, MI 48038-1133 | 2008-09-30 |
| 1356472435 | Nicholas Leone, M.d., P.C. | Ophthalmology | 39400 Garfield Rd, Suite 103, Clinton Twp, MI 48038-4096 | 2007-03-08 |
| 1528152808 | Marvin Shulman Md PC | Ophthalmology | 16530 19 Mile Rd, Clinton Twp, MI 48038 | 2006-10-03 |
| 1588646343 | Lawrence F Handler | Ophthalmology | 43421 Garfield Rd, Ste 7, Clinton Twp, MI 48038 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894429 | Ryan Freedman | Ophthalmology | 2250 Providence Dr., 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-08 |
| 1457973018 | Neha Gupta | Ophthalmology | 1134 Woburn Grn, Bloomfield Hills, MI 48302-2300 | 2020-05-17 |
| 1003437823 | Great Lakes Eye Institute | Ophthalmology | 800 Woodside Ave, Bay City, MI 48708-5468 | 2020-05-04 |
| 1447899273 | Legacy Eye Institute Plc | Ophthalmology | 811 East Street, Lapeer, MI 48446-3033 | 2019-12-26 |
| 1013471515 | Marshall Ophthalmology, Pllc | Ophthalmology | 16468 Emily Corlett, Marshall, MI 49068-8323 | 2019-01-29 |
| 1023583564 | Rochester Ophthalmology, Pllc | Ophthalmology | 1135 W University Dr Ste 155, Rochester, MI 48307-1871 | 2018-10-11 |
| 1205301983 | Grand Blanc Opthalmology | Ophthalmology | 123 South Westnedge Ave, Kalamazoo, MI 49007-6420 | 2018-10-09 |
| 1548756141 | Marko Habekovic Md, Pllc | Ophthalmology | 1000 E Paris Ave Se Ste 111, Grand Rapids, MI 49546-3680 | 2018-07-06 |
| 1487189254 | Yaldo Eye Centers PC | Ophthalmology | 31535 Ford Rd, Garden City, MI 48135-1821 | 2017-04-28 |
| 1366895005 | Black & White Look Optical Corp | Ophthalmology | 15675 W 10 Mile Rd, Southfield, MI 48075-2188 | 2016-07-18 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TWP |
| Zip Code | 48035 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.