DR. JOEL ZACKS (NPI# 1730170234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730170234 |
| Entity Type | Individual |
| Full Name | DR. JOEL ZACKS |
| Credential | MD |
| Practice Address |
15914 Jeanette St Southfield MI 48075-2013 |
| Practice Telephone | 2483766046 |
| Practice Fax Number | 2485697054 |
| Mailing Telephone | 2485697054 |
| Mailing Fax Number | 2485697054 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2012-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 036726 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1045538230 | 05 |
| Street Address |
15914 JEANETTE ST |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982709861 | Eye Travel,pc | Ophthalmology | 15914 Jeanette St, Southfield, MI 48075-2013 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1184615767 | Charlotte M Liioi Hartzell | Ophthalmology | 26400 W 12 Mile Rd Ste 60, Southfield, MI 48034-1774 | 2005-11-02 |
| 1952392813 | Michael Y Greenley | Ophthalmology | 28905 Northwestern Hwy, Southfield, MI 48034-1805 | 2005-10-31 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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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.