ASSOCIATED RETINALCONSULTANTS, PC (NPI# 1730135807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730135807 |
| Entity Type | Organization |
| Organization Name | ASSOCIATED RETINALCONSULTANTS, PC |
| Practice Address |
20952 12 Mile Rd 140 St Clair Shores MI 48081 |
| Mailing Address |
39650 Orchard Hill Pl 200 Novi MI 48375-5331 |
| Practice Telephone | 5865522092 |
| Practice Fax Number | 5865522095 |
| Mailing Telephone | 2483190161 |
| Mailing Fax Number | 2483190170 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | DR. MICHAEL THOMAS TRESE (PRESIDENT) |
| Authorized Official Telephone | 2482882269 |
| Authorized Official Credential | MD |
| 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 |
|---|---|---|---|
| BCBS GRP # | 180Q26082 | 01 | |
| MEDICARE RAILROAD GRP # | 791183369 | 01 | |
| BCN GRP # | G00698 | 01 |
| Street Address |
20952 12 MILE RD 140 |
| City | ST CLAIR SHORES |
| State | MI |
| Zip Code | 48081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427027416 | Michigan Institute of Urology PC | Pathology | 20952 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3203 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| 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 |
|---|---|---|---|---|
| 1619963188 | Neal M. Krasnick | Ophthalmology | 25511 Little Mack Ave, Suite A, St Clair Shores, MI 48081-3372 | 2005-09-21 |
| 1104828482 | James W Klein | Ophthalmology | 21711 Greater Mack Ave, St Clair Shores, MI 48080-2418 | 2005-06-01 |
| 1467408914 | Richard C Mertz Jr Md PC | Ophthalmology | 21711 Greater Mack Ave, St Clair Shores, MI 48080-2418 | 2006-05-26 |
| 1255327490 | Michael J. Clune | Ophthalmology | 25511 Little Mack Ave, Suite A, St Clair Shores, MI 48081-3372 | 2005-09-22 |
| 1629064183 | Anne M. Nachazel | Ophthalmology | 25511 Little Mack Ave, Suite A, St Clair Shores, MI 48081-3372 | 2005-09-21 |
| 1255333514 | Amy L Smith | Ophthalmology | 21711 Greater Mack Ave, St Clair Shores, MI 48080-2418 | 2005-06-01 |
| 1225030596 | Mariann M Channell | Ophthalmology | 21711 Greater Mack Ave, St Clair Shores, MI 48080-2418 | 2005-06-01 |
| 1841292109 | Richard C Mertz | Ophthalmology | 21711 Greater Mack Ave, St Clair Shores, MI 48080-2418 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894429 | Ryan Freedman | Ophthalmology | 2250 Providence Dr., 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-08 |
| 1457973018 | Neha Gupta | Ophthalmology | 1134 Woburn Grn, Bloomfield Hills, MI 48302-2300 | 2020-05-17 |
| 1003437823 | Great Lakes Eye Institute | Ophthalmology | 800 Woodside Ave, Bay City, MI 48708-5468 | 2020-05-04 |
| 1447899273 | Legacy Eye Institute Plc | Ophthalmology | 811 East Street, Lapeer, MI 48446-3033 | 2019-12-26 |
| 1013471515 | Marshall Ophthalmology, Pllc | Ophthalmology | 16468 Emily Corlett, Marshall, MI 49068-8323 | 2019-01-29 |
| 1023583564 | Rochester Ophthalmology, Pllc | Ophthalmology | 1135 W University Dr Ste 155, Rochester, MI 48307-1871 | 2018-10-11 |
| 1205301983 | Grand Blanc Opthalmology | Ophthalmology | 123 South Westnedge Ave, Kalamazoo, MI 49007-6420 | 2018-10-09 |
| 1548756141 | Marko Habekovic Md, Pllc | Ophthalmology | 1000 E Paris Ave Se Ste 111, Grand Rapids, MI 49546-3680 | 2018-07-06 |
| 1487189254 | Yaldo Eye Centers PC | Ophthalmology | 31535 Ford Rd, Garden City, MI 48135-1821 | 2017-04-28 |
| 1366895005 | Black & White Look Optical Corp | Ophthalmology | 15675 W 10 Mile Rd, Southfield, MI 48075-2188 | 2016-07-18 |
| Find all providers with the same taxonomy | ||||
| City | ST CLAIR SHORES |
| Zip Code | 48081 |
Please comment or provide details below to improve the information on ASSOCIATED RETINALCONSULTANTS, 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.