Northwest Ophthalmology,Pc

LBN: Northwest Ophthalmology,Pc
Northwest Ophthalmology,Pc is an health care organization with primary practice located at 26771 W 12 Mile Rd Suite 105, Southfield MI 48034-1539. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Northwest Ophthalmology,Pc can be contacted via phone (248) 352-8815, or through Burke, Gerald J via phone (248) 352-8815.

Contact Information

Primary practice address
26771 W 12 Mile Rd Suite 105 Southfield MI 48034-1539
Phone: (248) 352-8815
Fax: (248) 352-9157
Website:
Map and Directions
Authorized official contact:
Name: Burke, Gerald J Doctor of Medicine (MD)
Phone: (248) 352-8815

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1023205366
LBN Legal business name Northwest Ophthalmology,Pc
DBA Doing business as
Authorized official Burke, Gerald J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2007
Last updated Apr 9th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023205366 NPPES
Michigan MEDICAID 1481927

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