BLACK & WHITE LOOK OPTICAL CORP


Address: 15675 W 10 Mile Rd, Southfield, MI 48075-2188
Phone: 2485576444

BLACK & WHITE LOOK OPTICAL CORP (NPI# 1366895005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366895005
Entity Type Organization
Organization Name BLACK & WHITE LOOK OPTICAL CORP
Practice Address 15675 W 10 Mile Rd
Southfield
MI 48075-2188
Practice Telephone 2485576444
Mailing Telephone 2485576444
Enumeration Date 2016-07-18
Last Update Date 2016-07-18
Authorized Official Name MS. PATRICE COATES (BILLER)
Authorized Official Telephone 2482199782
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology Allopathic & Osteopathic Physicians

Office Location

Street Address 15675 W 10 MILE RD
City SOUTHFIELD
State MI
Zip Code 48075-2188

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1851900054 K&b Medical Wigs, LLC Durable Medical Equipment & Medical Supplies 16250 Northland Dr. Ste 221, Southfield, MI 48075 2020-07-24
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1265056410 Husein Yusuf Husein Podiatrist Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 2020-06-03
1952945420 Paris Straughter Nurse Practitioner 18438 Onyx St, Southfield, MI 48075 2019-10-29
1811467657 Medicine Man Medical, Pllc Physical Medicine & Rehabilitation 25130 Southfield Road, Suite #210, Southfield, MI 48075 2018-12-04
1447725528 Rommel Ramos Perez Physical Therapist 26017 Greenfield Rd., Southfield, MI 48075 2018-10-04
1073009627 Jacqueline Venora Goodgame Licensed Practical Nurse 4000 Town Ctr, Southfield, MI 48075 2018-07-06
1043712532 Hollie Marie Maltese Physical Therapy Assistant 22255 Greenfiled 118, Southfield, MI 48075 2018-03-01
1932601481 Katie Marie Mccormack Occupational Therapist 16001 West Nine Mile Rd., Southfield, MI 48075 2018-03-01
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649894429 Ryan Freedman Ophthalmology 2250 Providence Dr., 3pmb Suite #301, Southfield, MI 48075-4818 2020-06-08
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
1952392813 Michael Y Greenley Ophthalmology 28905 Northwestern Hwy, Southfield, MI 48034-1805 2005-10-31
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Competitor

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City SOUTHFIELD
Zip Code 48075

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Dataset Information

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.

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