DR. WILLIAM JERRY LINDAHL (NPI# 1104994532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104994532 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM JERRY LINDAHL |
| Credential | O.D. |
| Practice Address |
26771 W 12 Mile Rd Suite 100 Southfield MI 48034-1539 |
| Practice Telephone | 2482634900 |
| Practice Fax Number | 2482634903 |
| Mailing Telephone | 2482634900 |
| Mailing Fax Number | 2482634903 |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2012-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901002652 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5088773 | 05 | |
| MI | BLUE CROSS BLUE SHIELD OF MICHIGAN | 900F367240 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194107136 | William Lindahl | Technician, Other | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2015-06-26 |
| Street Address |
26771 W 12 MILE RD SUITE 100 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386634616 | Howard S Goldberg | Internal Medicine | 26771 W 12 Mile Rd, Suite 110, Southfield, MI 48034-1539 | 2005-10-27 |
| 1780180521 | 2020 Family Vision Sf | Optometrist | 26771 W 12 Mile Rd, Southfield, MI 48034 | 2018-04-02 |
| 1073992483 | Stephen E. Gork, Dds,pc | Dentist | 26771 W 12 Mile Rd, G-115, Southfield, MI 48034-1539 | 2015-05-19 |
| 1124393202 | Iman Np Center LLC | Advanced Practice Midwife | 26771 W 12 Mile Rd, Suite 101, Southfield, MI 48034-1539 | 2012-03-21 |
| 1841520830 | Howard S Goldberg Md PC | Internal Medicine | 26771 W 12 Mile Rd, Ste 110, Southfield, MI 48034-1539 | 2010-01-13 |
| 1285814020 | Strive Joint & Health Center P.C. | Physical Medicine & Rehabilitation | 26771 W 12 Mile Rd, Suite 106, Southfield, MI 48034-1539 | 2007-11-09 |
| 1023205366 | Northwest Ophthalmology,pc | Ophthalmology | 26771 W 12 Mile Rd, Suite 105, Southfield, MI 48034-1539 | 2007-10-01 |
| 1225258015 | Advanced Primary Eyecare P.C. | Optometrist | 26771 W 12 Mile Rd, Suite 100, Southfield, MI 48034-1539 | 2007-04-26 |
| 1417070392 | Family Optometry Associates, P.C. | Eyewear Supplier (Equipment, not the service) | 26771 W 12 Mile Rd, Suite 100, Southfield, MI 48034-1539 | 2007-04-07 |
| 1326151960 | North Woodward Capsule Imaging, LLC | Internal Medicine | 26771 W 12 Mile Rd, Ste 106, Southfield, MI 48034-1539 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538777255 | James Bong-suk Kim | Optometrist | 19747 W 12 Mile Rd Ste L7a, Southfield, MI 48076-2584 | 2020-07-20 |
| 1154954741 | P-cor, LLC | Optometrist | 29350 Southfield Rd Ste 150, Southfield, MI 48076-2011 | 2020-02-21 |
| 1659754505 | Brittany R Adams | Optometrist | 29157 Southfield Rd, Southfield, MI 48076-1900 | 2015-07-09 |
| 1528382611 | Mobile Podiatry LLC | Optometrist | 27718 Franklin Road, Southfield, MI 48034 | 2010-03-18 |
| 1952420267 | Jartll Corp | Optometrist | 29983 Northwestern Hwy, Southfield, MI 48034-1020 | 2007-03-28 |
| 1831275759 | Martin Bruce Rudick | Optometrist | 28923 Christopher Ln., Southfield, MI 48034 | 2006-10-31 |
| 1679660849 | Black and White Look Optical Corporation | Optometrist | 15675 W Ten Mile Rd, Southfield, MI 48075-2188 | 2006-10-06 |
| 1548368954 | Holloway Eyecare PC | Optometrist | 20905 Greenfield Rd Ste 301, Southfield, MI 48075-5347 | 2006-09-20 |
| 1720197759 | Yaakov Gershon Zacks | Optometrist | 16232 Sherfield Pl, Southfield, MI 48075-2061 | 2006-08-30 |
| 1033141627 | Frances Meram Ceritano | Optometrist | 30800 Southfield Rd, Southfield, MI 48076-7737 | 2006-07-06 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
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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.