EYE SURGERY CENTER OF MICHIGAN LLC (NPI# 1255510525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255510525 |
| Entity Type | Organization |
| Organization Name | EYE SURGERY CENTER OF MICHIGAN LLC |
| Practice Address |
3455 Livernois Troy MI 48083-5063 |
| Mailing Address |
3455 Livernois Rd Troy MI 48083-5063 |
| Practice Telephone | 2486192020 |
| Mailing Telephone | 2486192020 |
| Mailing Fax Number | 2486197150 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2008-07-31 |
| Authorized Official Name | LESLIE DAVID GROSINGER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2483332900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
Ambulatory Health Care Facilities |
| Street Address |
3455 LIVERNOIS |
| City | TROY |
| State | MI |
| Zip Code | 48083-5063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
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| 1285913020 | David W Blodgett, M.d. Pllc | Clinic/Center | 839 Randall Ct, Birmingham, MI 48009-1368 | 2011-08-10 |
| 1124274329 | Genesys Regional Medical Center | Clinic/Center | 235 Tree Top Cir Apt 206, Auburn Hills, MI 48326-1185 | 2008-08-07 |
| 1194867986 | Lasik Education Pllc | Clinic/Center | 20750 Civic Center Drive, Suite 300, Southfield, MI 48076 | 2007-02-12 |
| 1164568580 | Lasikplus of Michigan, P.C. | Clinic/Center | 2500 East Betline, Se, Suite C, Grand Rapids, MI 49546 | 2007-01-30 |
| 1285687145 | Shoreline Asc, Inc. | Clinic/Center | 1298 E Sherman Blvd, Muskegon, MI 49444-1831 | 2006-05-19 |
| 1508304577 | The Lasik Vision Institute LLC | Clinic/Center | 2900 Charlevoix Dr Se, Suite # 100, Grand Rapids, MI 49546-7085 | 2017-02-09 |
| 1003273129 | Great Lakes Surgery Center LLC | Clinic/Center | 2848 Niles Rd, Suite B, Saint Joseph, MI 49085-3352 | 2016-01-20 |
| 1639476377 | Livonia Outpatient Surgery Center, LLC | Clinic/Center | 33400 6 Mile Rd, Suite B, Livonia, MI 48152-3143 | 2011-02-15 |
| 1851617591 | Jeffrey Nestor, D.o., P.C. | Clinic/Center | 28900 Joy Rd, Livonia, MI 48150-4031 | 2010-04-19 |
| Find all providers with the same taxonomy | ||||
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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.