MICHIGAN OPHTHALMOLOGY SPECIALISTS, PLLC (NPI# 1942272364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942272364 |
| Entity Type | Organization |
| Organization Name | MICHIGAN OPHTHALMOLOGY SPECIALISTS, PLLC |
| Other Organization Name | COBURN KLEINFELDT EYE CLINIC PC |
| Practice Address |
33400 W Six Mile Road Suite A Ophthalmic Specialists of Michigan Livonia MI 48152 |
| Mailing Address |
30150 Telegraph Rd Ste 271 Bingham Farms MI 48025-4521 |
| Practice Telephone | 7344212020 |
| Practice Fax Number | 7344212290 |
| Mailing Telephone | 2483955175 |
| Mailing Fax Number | 2483955170 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | NOSSONAL KLEINFELDT (CEO) |
| Authorized Official Telephone | 7344212020 |
| 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 |
|---|---|---|---|
| MI | HEALTH ALLIANCE PLAN OF M | 58117A | 01 |
| MI | WPS | 0M94750 | 01 |
| MI | 104638662 | 05 | |
| MI | BLUE CARE NETWORK | 180H270190 | 01 |
| MI | PALMETTO GBA | C30473 | 01 |
| MI | 104485008 | 05 | |
| MI | 104966799 | 05 | |
| MI | 104983299 | 05 | |
| MI | BLUE CROSS BLUE SHIELD | 180H270190 | 01 |
| Other Name | Type Code |
|---|---|
| Coburn Kleinfeldt Eye Clinic PC | Former Legal Business Name - Organization |
| Ophthalmic Specialists of Michigan | Doing Business As Name - Organization |
| Street Address |
33400 W SIX MILE ROAD SUITE A OPHTHALMIC SPECIALISTS OF MICHIGAN |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| 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 |
|---|---|---|---|---|
| 1508274663 | Novi Ophthalmology, PC | Ophthalmology | 37595 7 Mile Rd Ste 310, Livonia, MI 48152-1003 | 2014-08-01 |
| 1841462181 | Insight Ophthalmology Pllc | Ophthalmology | 29927 Six Mile Road, Livonia, MI 48152 | 2008-03-27 |
| 1639233828 | Eric Jay Zuckerman | Ophthalmology | 20210 Farmington Rd, Livonia, MI 48152-1412 | 2006-12-21 |
| 1366487308 | Jeffrey Robert Lupovitch | Ophthalmology | 29927 Six Mile Rd, Livonia, MI 48152 | 2006-06-16 |
| 1861446817 | Michael A Mandell | Ophthalmology | 37650 Professional Center Drive, Ste 125a, Livonia, MI 48154 | 2006-05-22 |
| 1427013895 | Ronald S Lorfel | Ophthalmology | 29927 6 Mile Rd, Livonia, MI 48152-3670 | 2006-04-19 |
| 1528022068 | Jeffrey Nestor | Ophthalmology | 28900 Joy Rd, Livonia, MI 48150-4031 | 2006-04-13 |
| 1780651281 | Alan W Solway | Ophthalmology | 32410 Five Mile Rd, Suite 102, Livonia, MI 48154-3076 | 2006-03-02 |
| 1376540369 | Nossonal Kleinfeldt | Ophthalmology | 33400 6 Mile Rd, Coburn Kleinfeldt Eye Clinic, PC, Livonia, MI 48152-3143 | 2005-07-05 |
| 1104208008 | Ryan T Hayes | Ophthalmology | 28900 Joy Rd, Livonia, MI 48150-4031 | 2015-06-26 |
| Find all providers in LIVONIA | ||||
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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.