MID MICHIGAN RETINA PLC (NPI# 1215175385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215175385 |
| Entity Type | Organization |
| Organization Name | MID MICHIGAN RETINA PLC |
| Practice Address |
4660 S Hagadorn Rd Suite 200 East Lansing MI 48823-5376 |
| Practice Telephone | 5175745850 |
| Practice Fax Number | 5175745852 |
| Mailing Telephone | 5175745850 |
| Mailing Fax Number | 5175745852 |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2011-02-08 |
| Authorized Official Name | MS. SANDRA H. GILLIGAN (PRACTICE MANAGER) |
| Authorized Official Telephone | 5175745850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 4301068962 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4660 S HAGADORN RD SUITE 200 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-5376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538168463 | Harvey Bumpers | Surgery | 4660 S Hagadorn Rd, #600, East Lansing, MI 48823-5376 | 2005-07-21 |
| 1558855262 | Kyle Lamont Allan | Neuromusculoskeletal Medicine & OMM | 4660 S Hagadorn Rd, East Lansing, MI 48823-5376 | 2018-06-15 |
| 1942752258 | Allison Azamtarrahian | Social Worker | 4660 S Hagadorn Rd, East Lansing, MI 48823 | 2016-11-03 |
| 1831562610 | Kimberley Krummrey | Nurse Practitioner | 4660 S Hagadorn Rd, 405, East Lansing, MI 48823-5376 | 2015-11-03 |
| 1043600430 | Ashley Day | Physician Assistant | 4660 S Hagadorn Rd, #600, East Lansing, MI 48823-5376 | 2015-01-23 |
| 1447653878 | Harper Psychological Plc | Psychologist | 4660 S Hagadorn Rd, Suite 280a, East Lansing, MI 48823-5376 | 2014-09-30 |
| 1760885107 | Sara Czubak | Psychologist | 4660 S Hagadorn Rd, Suite 280a, East Lansing, MI 48823-5376 | 2014-09-30 |
| 1215341599 | Jamie Mueller-smith | Neuromusculoskeletal Medicine & OMM | 4660 S Hagadorn Rd, Suite 500, East Lansing, MI 48823-5376 | 2014-06-16 |
| 1447660808 | Norton Eye Care Pllc | Optometrist | 4660 S Hagadorn Rd, East Lansing, MI 48823-5376 | 2014-05-06 |
| 1063834869 | International Rehabilitative Sciences Inc. | Durable Medical Equipment & Medical Supplies | 4660 S Hagadorn Rd, Ste 170, East Lansing, MI 48823-5376 | 2014-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| 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 |
|---|---|---|---|---|
| 1609875566 | Jenn Yu Liu | Ophthalmology | 702 W Lake Lansing Rd, East Lansing, MI 48823-8526 | 2005-07-21 |
| 1609190131 | Sonia Walia Rana | Ophthalmology | 2001 Coolidge Rd, East Lansing, MI 48823-1378 | 2010-03-26 |
| 1740429810 | Ahmed A. El-sanhouri | Ophthalmology | 2001 Coolidge Road, East Lansing, MI 48823 | 2009-02-13 |
| 1700032570 | Lina Nagia | Ophthalmology | 804 Service Rd # A217, East Lansing, MI 48824-7015 | 2008-08-13 |
| 1114119997 | Craig Donald Lewis | Ophthalmology | 2001 Coolidge Rd, East Lansing, MI 48823-1378 | 2007-08-15 |
| 1891848966 | O'neil Michel Biscette | Ophthalmology | 2001 Coolidge Rd, East Lansing, MI 48823-1378 | 2007-01-19 |
| 1063482974 | Deborah Lynn Mackersie | Ophthalmology | 702 W Lake Lansing Rd, Suite F, East Lansing, MI 48823-8526 | 2006-01-24 |
| 1619957016 | Michigan Eye Care Specialists,pc | Ophthalmology | 702 W Lake Lansing Rd, East Lansing, MI 48823-8526 | 2006-01-20 |
| 1013992247 | Thomas K Moore | Ophthalmology | 2001 Coolidge Rd, East Lansing, MI 48823-1378 | 2005-12-09 |
| 1679557250 | Xiaokui M. You | Ophthalmology | 2001 Coolidge Rd, East Lansing, MI 48823-1378 | 2005-12-06 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
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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.