NORTHWEST OPHTHALMOLOGY,PC (NPI# 1023205366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023205366 |
| Entity Type | Organization |
| Organization Name | NORTHWEST OPHTHALMOLOGY,PC |
| Practice Address |
26771 W 12 Mile Rd Suite 105 Southfield MI 48034-1539 |
| Practice Telephone | 2483528815 |
| Practice Fax Number | 2483529157 |
| Mailing Telephone | 2483528815 |
| Mailing Fax Number | 2483529157 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2008-04-09 |
| Authorized Official Name | DR. GERALD J BURKE (PRESIDENT) |
| Authorized Official Telephone | 2483528815 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1481927 | 05 |
| Street Address |
26771 W 12 MILE RD SUITE 105 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386634616 | Howard S Goldberg | Internal Medicine | 26771 W 12 Mile Rd, Suite 110, Southfield, MI 48034-1539 | 2005-10-27 |
| 1780180521 | 2020 Family Vision Sf | Optometrist | 26771 W 12 Mile Rd, Southfield, MI 48034 | 2018-04-02 |
| 1073992483 | Stephen E. Gork, Dds,pc | Dentist | 26771 W 12 Mile Rd, G-115, Southfield, MI 48034-1539 | 2015-05-19 |
| 1124393202 | Iman Np Center LLC | Advanced Practice Midwife | 26771 W 12 Mile Rd, Suite 101, Southfield, MI 48034-1539 | 2012-03-21 |
| 1841520830 | Howard S Goldberg Md PC | Internal Medicine | 26771 W 12 Mile Rd, Ste 110, Southfield, MI 48034-1539 | 2010-01-13 |
| 1285814020 | Strive Joint & Health Center P.C. | Physical Medicine & Rehabilitation | 26771 W 12 Mile Rd, Suite 106, Southfield, MI 48034-1539 | 2007-11-09 |
| 1225258015 | Advanced Primary Eyecare P.C. | Optometrist | 26771 W 12 Mile Rd, Suite 100, Southfield, MI 48034-1539 | 2007-04-26 |
| 1417070392 | Family Optometry Associates, P.C. | Eyewear Supplier (Equipment, not the service) | 26771 W 12 Mile Rd, Suite 100, Southfield, MI 48034-1539 | 2007-04-07 |
| 1104994532 | William Jerry Lindahl | Optometrist | 26771 W 12 Mile Rd, Suite 100, Southfield, MI 48034-1539 | 2006-12-02 |
| 1326151960 | North Woodward Capsule Imaging, LLC | Internal Medicine | 26771 W 12 Mile Rd, Ste 106, Southfield, MI 48034-1539 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| 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 |
| 1730170234 | Joel Zacks | Ophthalmology | 15914 Jeanette St, Southfield, MI 48075-2013 | 2005-11-02 |
| 1184615767 | Charlotte M Liioi Hartzell | Ophthalmology | 26400 W 12 Mile Rd Ste 60, Southfield, MI 48034-1774 | 2005-11-02 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
Please comment or provide details below to improve the information on NORTHWEST OPHTHALMOLOGY,PC.
| 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.