DR. CHARLOTTE M LIIOI HARTZELL


Address: 26400 W 12 Mile Rd Ste 60, Southfield, MI 48034-1774
Phone: 2485946702

DR. CHARLOTTE M LIIOI HARTZELL (NPI# 1184615767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184615767
Entity Type Individual
Full Name DR. CHARLOTTE M LIIOI HARTZELL
Credential MD
Practice Address 26400 W 12 Mile Rd Ste 60
Southfield
MI 48034-1774
Mailing Address 400 Mack Ave.
Suite 2 West - Credentialing Dept.
Detroit
MI 48201-2136
Practice Telephone 2485946702
Practice Fax Number 2485946738
Mailing Telephone 3134489006
Enumeration Date 2005-11-02
Last Update Date 2019-10-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 4301052708 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 26400 W 12 MILE RD STE 60
City SOUTHFIELD
State MI
Zip Code 48034-1774

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649894429 Ryan Freedman Ophthalmology 2250 Providence Dr., 3pmb Suite #301, Southfield, MI 48075-4818 2020-06-08
1366895005 Black & White Look Optical Corp Ophthalmology 15675 W 10 Mile Rd, Southfield, MI 48075-2188 2016-07-18
1548655152 Bianca Kizy Ophthalmology 29201 Telegraph Rd Ste 101, Southfield, MI 48034-7630 2015-03-31
1588977656 Randee Miller Watson Ophthalmology 29201 Telegraph Rd Ste 606, Southfield, MI 48034-1300 2010-07-19
1063578912 Associated Vision Consultants Pllc Ophthalmology 29275 Northwestern, Suite 200, Southfield, MI 48034-5744 2006-12-28
1164599437 Advanced Eye Care Md PC Ophthalmology 23077 Greenfield Suite 144, Southfield, MI 48075-3738 2006-11-29
1215962345 Shirley T Sherrod Md PC Ophthalmology 22200 W 11 Mile Rd, Box No. 515, Southfield, MI 48037-7136 2006-07-11
1124094651 Alon Kahana Ophthalmology 29201 Telegraph Rd Ste 324, Southfield, MI 48034-7646 2006-02-24
1730170234 Joel Zacks Ophthalmology 15914 Jeanette St, Southfield, MI 48075-2013 2005-11-02
1952392813 Michael Y Greenley Ophthalmology 28905 Northwestern Hwy, Southfield, MI 48034-1805 2005-10-31
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City SOUTHFIELD
Zip Code 48034

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Dataset Information

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.

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