NORTHWEST EYE PHYSICIANS, P.C. (NPI# 1306269436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306269436 |
Entity Type | Organization |
Organization Name | NORTHWEST EYE PHYSICIANS, P.C. |
Practice Address |
26850 Providence Pkwy Suite 440 Novi MI 48374-1213 |
Mailing Address |
22250 Providence Dr Suite 304 Southfield MI 48075-4825 |
Practice Telephone | 2483808280 |
Practice Fax Number | 2483808411 |
Mailing Telephone | 2485694366 |
Mailing Fax Number | 2485694614 |
Enumeration Date | 2014-01-24 |
Last Update Date | 2014-01-24 |
Authorized Official Name | MS. MARCHELLE MANN (BILLING MANAGER) |
Authorized Official Telephone | 2485694366 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | MI | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740244037 | Northwest Eye Physicians, P.C. | Ophthalmology | 22250 Providence Dr, Suite 304, Southfield, MI 48075-4825 | 2006-04-13 |
Street Address |
26850 PROVIDENCE PKWY SUITE 440 |
City | NOVI |
State | MI |
Zip Code | 48374-1213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457354953 | Lara Azzi | Pediatrics | 26850 Providence Pkwy, Suite 455, Novi, MI 48374-1213 | 2005-05-27 |
1578096483 | Jordyn Havens | Counselor | 26850 Providence Pkwy, Ste 410, Novi, MI 48374-1213 | 2017-04-07 |
1740723659 | Carmela Wilder | Social Worker | 26850 Providence Pkwy, Suite 205, Novi, MI 48374-1213 | 2016-11-24 |
1518413210 | Adam Mcclafferty | Physical Therapist | 26850 Providence Pkwy, Suite 365, Novi, MI 48374-1213 | 2016-09-01 |
1336591973 | Jessica Wentworth | Nurse Practitioner | 26850 Providence Pkwy, Novi, MI 48374-1213 | 2016-07-07 |
1407233745 | Kha H. Ngo, D.o., P.l.l.c. | Internal Medicine | 26850 Providence Pkwy, Ste 350, Novi, MI 48374-1213 | 2015-05-06 |
1629455423 | Serge A. Sorser, M.d., P.l.l.c. | Internal Medicine | 26850 Providence Pkwy, Suite 350, Novi, MI 48374-1213 | 2015-04-30 |
1487052619 | Providence Park Internal Medicine PC | Internal Medicine | 26850 Providence Pkwy, Suite 450, Novi, MI 48374-1213 | 2014-12-22 |
1598161564 | Paul James Constantino | Podiatrist | 26850 Providence Pkwy, Suite 502, Novi, MI 48374-1213 | 2014-11-18 |
1306274493 | Elana Bodzin | Physical Therapist | 26850 Providence Pkwy, Suite 365, Novi, MI 48374-1213 | 2013-10-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902323884 | Jhansi Navuluri | Physical Therapist | 27579 Etrada Lane, Novi, MI 48374 | 2017-08-23 |
1609306422 | James Vanderhaeghen | Foster Care Agency | 24375 Homestead Ct, Novi, MI 48374 | 2017-06-14 |
1558810622 | Iryna Chaykivska | Nurse Anesthetist, Certified Registered | 47601 Grand River Avenue, Novi, MI 48374 | 2016-09-29 |
1477937944 | Joseph Smola | Chiropractor | 48000 Grand River Ave, Novi, MI 48374 | 2015-07-15 |
1881005114 | Alpha Medical Services PC | Internal Medicine | 26131, Sunbury Ct, Novi, MI 48374 | 2014-05-08 |
1043565443 | Jason J Rizqallah | Surgery | 47601 Grand River Ave # B136, Novi, MI 48374 | 2012-07-21 |
1780992628 | Khyati Patel | Internal Medicine | 26850 Providence Pkwy Ste 420, Novi, MI 48374 | 2010-09-14 |
1891963799 | Luann Marie Redmond | Social Worker | 50598 Montana, Novi, MI 48374 | 2008-02-13 |
1427249424 | Ajay V Raman | Anesthesiology | 24875 Novi Road #454, Novi, MI 48374 | 2007-08-05 |
1003948233 | Sam's Club Optical | Technician/Technologist | 27300 Wixon Road, Novi, MI 48374 | 2007-03-12 |
Find all providers in zip 48374 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366895245 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 27550 Novi Rd, Novi, MI 48377-3418 | 2016-07-15 |
1639540859 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 26425 Novi Rd, Novi, MI 48375-1146 | 2015-10-14 |
1194963108 | Young's Classic Eyewear Inc | Eyewear Supplier (Equipment, not the service) | 23510 Highmeadow Dr, Novi, MI 48375-3229 | 2009-01-29 |
1952455677 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 27380 Novi Rd # D172, Novi, MI 48377-3414 | 2007-01-22 |
1154467314 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 27486 Novi Rd, Twelve Oaks Mall Ste #e115, Novi, MI 48377-3416 | 2007-01-29 |
1245387760 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 27600 Novi Rd, Twelve Oaks Mall, Novi, MI 48377-3420 | 2007-01-05 |
1659392561 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 27150 Novi Rd, Novi, MI 48377 | 2006-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245831783 | Anthony Curtis Mcconer Sr. | Eyewear Supplier (Equipment, not the service) | 457 Highland St Se, Grand Rapids, MI 49507-1204 | 2020-11-02 |
1164023610 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3355 Henry St Ste H, Muskegon, MI 49441-4393 | 2020-11-02 |
1316545155 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 15523 Racho Blvd, Taylor, MI 48180-5213 | 2020-10-14 |
1043818859 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 6828 Rochester Rd, Troy, MI 48085-1291 | 2020-10-14 |
1851999692 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 45101 Towne Center Blvd, Chesterfield, MI 48047-6141 | 2020-10-14 |
1609488378 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
1831700061 | Optics Center | Eyewear Supplier (Equipment, not the service) | 6645 Schaefer Rd, Dearborn, MI 48126-1812 | 2020-08-11 |
1538784327 | Sassy Eyes Boutique, LLC | Eyewear Supplier (Equipment, not the service) | 28911 7 Mile Rd, Livonia, MI 48152-3503 | 2020-06-08 |
1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
1972153666 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 15620 Hall Rd, Clinton Township, MI 48038-1036 | 2019-09-16 |
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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.