TLC LASER CENTER OF DETROIT, LLC (NPI# 1013120641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013120641 |
| Entity Type | Organization |
| Organization Name | TLC LASER CENTER OF DETROIT, LLC |
| Other Organization Name | TLC LASER EYE CENTERS DETROIT |
| Practice Address |
34405 W 12 Mile Rd Ste. 154 Farmington Hills MI 48331-3391 |
| Mailing Address |
16305 Swingley Ridge Rd Ste. 300 Chesterfield MO 63017-1777 |
| Practice Telephone | 2484890400 |
| Mailing Telephone | 6365342300 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-01-23 |
| Authorized Official Name | TRISH MUNSELL (PARALEGAL) |
| Authorized Official Telephone | 6365342300 |
| Is Organization Subpart | Y |
| Parent Organization Name | TLC MICHIGAN LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS MICHIGAN G2 QUAL | 180F373640 | 01 |
| Other Name | Type Code |
|---|---|
| TLC Laser Eye Centers Detroit | Doing Business As Name - Organization |
| Street Address |
34405 W 12 MILE RD STE. 154 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48331-3391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265520332 | Christopher James Paulson | Dentist | 34405 W 12 Mile Rd, Ste. 187, Farmington Hills, MI 48331-3391 | 2006-10-11 |
| 1326432618 | The Himan Group, Inc | Home Health | 34405 W 12 Mile Rd, 169, Farmington Hills, MI 48331-3391 | 2015-03-24 |
| 1679815112 | Zaid Ali Aljahmi | Family Medicine | 34405 W 12 Mile Rd, Suite 173, Farmington Hills, MI 48331-3391 | 2013-03-22 |
| 1619100286 | Farmington Dental Pllc | Dentist | 34405 W 12 Mile Rd, Suite 187, Farmington Hills, MI 48331-3391 | 2009-08-31 |
| 1306003371 | Ahmadali Maalhagh-fard | Dentist | 34405 W 12 Mile Rd, Farmington Hills, MI 48331-3391 | 2008-05-19 |
| 1932383890 | T&c Dental Pllc | Dentist | 34405 W 12 Mile Rd, Ste 187, Farmington Hills, MI 48331-3391 | 2007-12-27 |
| 1407060874 | Tlc Michigan, LLC | Ophthalmology | 34405 W 12 Mile Rd, Suite 154, Farmington Hills, MI 48331-3391 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700352804 | Lori A Galicki | Occupational Therapist | 3405 W 12 Mile Rd. Suite 200, Farmington Hills, MI 48331 | 2018-10-17 |
| 1700372877 | Brooke Breann Reed | Speech-Language Pathologist | 34505 W 12 Mile Rd Ste 210, Farmington Hills, MI 48331 | 2018-07-02 |
| 1215473848 | Devon Caroline Welling | Advanced Practice Midwife | 31000 Country Bluff, Farmington Hills, MI 48331 | 2017-01-06 |
| 1780040246 | Pamela Moraa Obare | Nurse Practitioner | 36839 Greenspring St, Farmington Hills, MI 48331 | 2016-01-13 |
| 1427429844 | Counseling for The Brain, Body and Spirit, LLC | Community/Behavioral Health | 36510 Twelve Mile Rd, Farmington Hills, MI 48331 | 2015-10-12 |
| 1538548458 | Shavohn Rowser | Durable Medical Equipment & Medical Supplies | 38657 Lancaster Dr, Farmington Hills, MI 48331 | 2015-05-26 |
| 1851727697 | Sidney Lawrence Stone | Ophthalmology | 28853 Nottoway Drive, Farmington Hills, MI 48331 | 2013-09-25 |
| 1659621159 | Jacqueline Kiernan | Physical Therapist | 27240 Haggarty, Suite E15, Farmington Hills, MI 48331 | 2012-09-12 |
| 1770876476 | Elizabeth Anne Clancy | Counselor | 37875 12 Mile Rd, Farmington Hill, MI 48331 | 2011-05-27 |
| 1902197833 | Carla's Companionship & Care LLC | Home Health | 31145 Floralview Dr. S. #207, Farmington Hills, MI 48331 | 2011-04-26 |
| Find all providers in zip 48331 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689045577 | Befitting You,llc | Clinic/Center | 28300 Orchard Lake Rd, Suite 233, Farmington Hills, MI 48334-3704 | 2015-10-17 |
| 1942623871 | Centria Healthcare | Clinic/Center | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2014-01-29 |
| 1821360363 | Mind Body and Soul Psychiatric Services | Clinic/Center | 25882 Orchard Lake Rd, Suite L-5a, Farmington Hills, MI 48336-1292 | 2012-01-30 |
| 1194985689 | Steven J. Fadoir, Ph.d. P.C. | Clinic/Center | 31330 Northwestern Hwy, Suite D, Farmington Hills, MI 48334-2560 | 2008-06-10 |
| 1083804702 | Brent Smith, Pllc | Clinic/Center | 22433 Middlebelt Rd, Farmington Hills, MI 48336-3743 | 2007-07-30 |
| 1144366758 | Samina Ansar Ghazi Md PC | Clinic/Center | 33110 W 12 Mile Rd, Farmington Hills, MI 48334-3307 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730664 | Edward W. Sparrow Hospital Association | Clinic/Center | 2900 Hannah Blvd Ste 204, East Lansing, MI 48823-5382 | 2020-11-03 |
| 1952909558 | Quilted Rose Clinical Services, Pllc | Clinic/Center | 269 Walker St Ste 256, Detroit, MI 48207-4258 | 2020-10-15 |
| 1386250694 | A Better Me Therapy, LLC | Clinic/Center | 2503 S Linden Rd Ste 259, Flint, MI 48532-5462 | 2020-09-22 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1659985042 | Passion and Purpose Pediatrics | Clinic/Center | 2944 Olden Oak Ln Apt 204, Auburn Hills, MI 48326-2177 | 2020-09-02 |
| 1710597745 | Renew Child and Family Center | Clinic/Center | 383 Starkweather St, Plymouth, MI 48170-1382 | 2020-08-04 |
| 1467075358 | Shear Pointe Inc | Clinic/Center | 1971 E 14 Mile Rd, Birmingham, MI 48009-7244 | 2020-05-26 |
| 1992326466 | New Healthcare PC | Clinic/Center | 911 Dix St Ste B, Otsego, MI 49078-1609 | 2020-05-06 |
| 1851920581 | Emotional Wellness Group LLC | Clinic/Center | 11956 E Outer Dr, Detroit, MI 48224-2630 | 2020-04-04 |
| 1003445800 | Dr. Chris Popp, PC | Clinic/Center | 107 Aprill Dr Ste 5, Ann Arbor, MI 48103-1956 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48331 |
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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.