RETINA VITREOUS CENTER, PC (NPI# 1811192537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811192537 |
| Entity Type | Organization |
| Organization Name | RETINA VITREOUS CENTER, PC |
| Practice Address |
3181 E Grand Blanc Rd Grand Blanc MI 48439-8117 |
| Practice Telephone | 8106946933 |
| Practice Fax Number | 8106945295 |
| Mailing Telephone | 8106946933 |
| Mailing Fax Number | 8106945295 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2009-10-16 |
| Authorized Official Name | MRS. CATHY MCLEOD (OFFICE MANAGER) |
| Authorized Official Telephone | 8106946933 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 4301039556 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104101440 | 05 | |
| MI | 102706763 | 05 |
| Street Address |
3181 E GRAND BLANC RD |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-8117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| 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 |
|---|---|---|---|---|
| 1285044107 | Raafay Sophie | Ophthalmology | 9400 S Saginaw Rd Ste D, Grand Blanc, MI 48439-9666 | 2014-04-30 |
| 1154598951 | Laxmi Vasudha Devisetty | Ophthalmology | 3181 East Grand Blanc Rd, Grand Blanc, MI 48439 | 2008-05-12 |
| 1316097090 | Julie Megan Rosenthal | Ophthalmology | 3181 E Grand Blanc Road, Grand Blanc, MI 48439-1827 | 2007-01-12 |
| 1992735658 | Jeffrey S. Rohr, D.o., PC | Ophthalmology | 2240 E Hill Rd Ste D, Grand Blanc, MI 48439-5420 | 2006-07-05 |
| 1144582438 | Vitreoretinal Specialists Plc | Ophthalmology | 9400 S Saginaw Rd, Suite D, Grand Blanc, MI 48439-9500 | 2012-06-12 |
| 1033430293 | Douglas Laurence Mcgraw | Ophthalmology | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2010-06-22 |
| 1447576186 | Manjool M Shah | Ophthalmology | 3181 East Grand Blanc Rd, Grand Blanc, MI 48439 | 2010-04-19 |
| 1194981985 | Ankur Mehta | Ophthalmology | 9400 S Saginaw Rd, Suite D, Grand Blanc, MI 48439-9601 | 2008-08-01 |
| 1932369055 | Amy Duoxi Zhang | Ophthalmology | 3181 East Grand Blanc Rd, Grand Blanc, MI 48439 | 2008-06-12 |
| 1568635720 | Christopher F Herzog, D.o., PC | Ophthalmology | 9463 Holly Rd, Ste 101, Grand Blanc, MI 48439-2557 | 2008-04-09 |
| Find all providers in GRAND BLANC | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
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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.