OTIS B. FERGUSON III MD PC


Address: 7633 East Jefferson, Suite 120, Detroit, MI 48214
Phone: 3138248941

OTIS B. FERGUSON III MD PC (NPI# 1780779678) 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) 1780779678
Entity Type Organization
Organization Name OTIS B. FERGUSON III MD PC
Other Organization Name CONSULTANTS IN OPTHAMOLOGY PC
Practice Address 7633 East Jefferson
Suite 120
Detroit
MI 48214
Practice Telephone 3138248941
Practice Fax Number 3138241115
Mailing Telephone 3138248941
Mailing Fax Number 3138241115
Enumeration Date 2006-10-04
Last Update Date 2008-03-11
Authorized Official Name OTIS FERGUSON (ADMINISTRATOR)
Authorized Official Telephone 3138248941
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 066409 MI Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Consultants in Opthamology PC Doing Business As Name - Organization

Office Location

Street Address 7633 EAST JEFFERSON
SUITE 120
City DETROIT
State MI
Zip Code 48214

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982761003 Cesareo Tamayo Jovellanos Physical Therapist 7633 East Jefferson, Suite 170, Detroit, MI 48214 2007-01-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376042325 Tamara Wesley Registered Nurse 9000 E. Jefferson Apt 28-14, Detroit, MI 48214 2018-02-06
1720534381 Birth Beautiful Detroit Clinic/Center 1086 Baldwin, Detroit, MI 48214 2016-09-01
1225402886 Steven Doyle Whatley I Counselor 1423 Field Ave., Adult Well Being Services, Detroit, MI 48214 2015-11-19
1255587945 Andrew Avery Internal Medicine 7733 East Jefferson Ave, Detroit, MI 48214 2008-08-13
1639330210 Nicole Lashawn Greene Specialist 4533 St Clair St, Detroit, MI 48214 2008-06-17
1629299433 Alan R Faber Jr. Dentist 8191 E Jefferson Ave, Detroit, MI 48214 2007-05-01
1518188598 Mary F Bridges Psychiatry & Neurology 8120 East Jefferson #3l, Detroit, MI 48214 2007-05-01
1053439737 Geraldine Etella Davis Counselor 3840 Fairview St., Detroit, MI 48214 2007-03-27
1639203482 Detroit-macomb Hospital Corporation Advanced Practice Midwife 7815 E. Jefferson, Detroit, MI 48214 2007-03-15
1033275441 Anesha Amor Rouse Physical Therapy Assistant 7633 E. Jefferson Ave, Suite 170, Detroit, MI 48214 2006-12-29
Find all providers in zip 48214

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
1912008566 Dennis C Woods Sr. Ophthalmology 4727 St Antoine St, Suite 207, Detroit, MI 48201 2006-09-26
1689685976 Associated Eye Institutes of Detroit, PC Ophthalmology 65 Cadillac Sq, Ste 105, Detroit, MI 48226-2844 2006-08-11
1245248129 W Anthony Greer Ophthalmology 7733 East Jefferson, Detroit, MI 48214 2006-08-04
1952348443 Gabriel Sosne Ophthalmology 4717 St Antoine, Kresge Eye Institute, Detroit, MI 48201-1423 2006-06-01
1609813120 Anju Goyal Ophthalmology Kresge Eye Institute, 4717 St Antoine, Detroit, MI 48201 2006-06-01
1053388074 William Robert Lucas Jr. Ophthalmology 4717 Saint Antoine St, Kresge Eye Institute, Detroit, MI 48201-1423 2006-03-08
1932185089 Evan H Black Ophthalmology 4717 St. Antoine, Kresge Eye Institute, Detroit, MI 48201-1423 2005-12-21
1033104773 Daniel Seth Zuckerbrod Ophthalmology 14400 West Mcnichols, Detroit, MI 48235-3916 2005-09-20
1235796780 John Michael Guest Ophthalmology 4717 Saint Antoine St, Detroit, MI 48201-1423 2019-05-21
1043877616 Hassan Ali Tokko Ophthalmology 4717 Saint Antoine St, Detroit, MI 48201-1423 2019-05-20
Find all providers in DETROIT

Competitor

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City DETROIT
Zip Code 48214

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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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