East Detroit Ophthalmology P.C. in Eastpointe - Specialist
East Detroit Ophthalmology P.C. - NPI 1124181763
East Detroit Ophthalmology P.C. is a Specialist in Eastpointe, Michigan. East Detroit Ophthalmology P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for East Detroit Ophthalmology P.C. is 1124181763. The last update date is 2010-03-01.
East Detroit Ophthalmology P.C.'s current location address is 22835 Kelly Rd, Eastpointe, Michigan. You can contact this provider via phone number 5867784400 and fax number 5867783642. The mailing address for East Detroit Ophthalmology P.C. is 22835 Kelly Rd, Eastpointe, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Detroit Ophthalmology P.C. |
|---|---|
| Address | 22835 Kelly Rd, Eastpointe, Michigan |
| Phone Number | 5867784400 |
| Fax Number | 5867783642 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Colombo John |
| Credentials | M.D. |
| Telephone Number | 5867784400 |
NPI Number Detail
| NPI Number | 1124181763 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2010-03-01 |
Provider Mailing Address Detail
| Address | 22835 Kelly Rd |
|---|---|
| City | Eastpointe |
| State | Michigan (MI) |
| Post Code | 480212073 |
| Phone Number | 5867784400 |
| Fax Number | 5867783642 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | JC026758 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3456128 | MI | -- | |
| OEO7713 | MI | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to East Detroit Ophthalmology P.C. by the Centers for Medicare & Medicaid Services?
The East Detroit Ophthalmology P.C. has been assigned the NPI (National Provider Identifier) 1124181763 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of East Detroit Ophthalmology P.C.?
The East Detroit Ophthalmology P.C. is physically situated at 22835 Kelly Rd, in the city of Eastpointe, state of MI, with the postal code 480212073.
What is the East Detroit Ophthalmology P.C.'s area of specialization and corresponding taxonomy classification?
The East Detroit Ophthalmology P.C.'s specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date was the 1124181763 assigned to East Detroit Ophthalmology P.C.?
The East Detroit Ophthalmology P.C. was issued its 1124181763 on 2006-12-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to East Detroit Ophthalmology P.C. most recently updated or revised?
The information pertaining to East Detroit Ophthalmology P.C., including its address, specialty, and other relevant details, was last updated or revised on 2010-03-01.
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