Michigan Ophthalmology Specialists, Pllc | |
33400 6 Mile Rd, Livonia, MI 48152-3165 | |
(734) 421-2020 | |
(734) 421-2290 |
Full Name | Michigan Ophthalmology Specialists, Pllc |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 33400 6 Mile Rd, Livonia, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942272364 | NPI | - | NPPES |
0M94750 | Other | MI | WPS |
C30473 | Other | MI | PALMETTO GBA |
104983299 | Medicaid | MI | |
104638662 | Medicaid | MI | |
104966799 | Medicaid | MI | |
180H270190 | Other | MI | BLUE CROSS BLUE SHIELD |
104485008 | Medicaid | MI | |
180H270190 | Other | MI | BLUE CARE NETWORK |
58117A | Other | MI | HEALTH ALLIANCE PLAN OF M |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Neil J Deledda |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689738304 PECOS PAC ID: 0840104840 Enrollment ID: I20031114000108 |
Provider Name | Christopher Y Chow |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1417938804 PECOS PAC ID: 8628972007 Enrollment ID: I20031126000435 |
Provider Name | Howard B Adelson |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1982691739 PECOS PAC ID: 5991608085 Enrollment ID: I20040128000020 |
Provider Name | Gregory B Fitzgerald |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1992701452 PECOS PAC ID: 7315837911 Enrollment ID: I20040317001242 |
Provider Name | Charles T Zenzen |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1265448930 PECOS PAC ID: 2769475078 Enrollment ID: I20040405000320 |
Provider Name | Barbara M Kuczynski |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1912981234 PECOS PAC ID: 8224095898 Enrollment ID: I20041215000394 |
Provider Name | Todd A Adelson |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1124088075 PECOS PAC ID: 7911952890 Enrollment ID: I20050314000611 |
Provider Name | William S Goldstein |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1437159738 PECOS PAC ID: 0749237089 Enrollment ID: I20050408000187 |
Provider Name | Snigdha Singh |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1912901398 PECOS PAC ID: 6608815345 Enrollment ID: I20050502000747 |
Provider Name | Arezo Amirikia |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1518902345 PECOS PAC ID: 1153405774 Enrollment ID: I20080221000034 |
Provider Name | Steven W Fite |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1649277310 PECOS PAC ID: 0042381501 Enrollment ID: I20080611000593 |
Provider Name | Sherry L Dustman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851336689 PECOS PAC ID: 7315006970 Enrollment ID: I20081111000746 |
Provider Name | Lawrence F Handler |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1588646343 PECOS PAC ID: 4183707904 Enrollment ID: I20081119000523 |
Provider Name | Stephen P Verb |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1528266129 PECOS PAC ID: 5395800940 Enrollment ID: I20090213000217 |
Provider Name | Jeffrey E Rautio |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1972754182 PECOS PAC ID: 3476692054 Enrollment ID: I20091120000679 |
Provider Name | William S Wilkinson |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1124057690 PECOS PAC ID: 8527003771 Enrollment ID: I20100820001088 |
Provider Name | Nossonal Kleinfeldt |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1376540369 PECOS PAC ID: 1254302995 Enrollment ID: I20101103001017 |
Provider Name | Andrea Kay Braden |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205065588 PECOS PAC ID: 9931395944 Enrollment ID: I20101201001245 |
Provider Name | Shareef B Ahmed |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1770789646 PECOS PAC ID: 6002085313 Enrollment ID: I20110802000774 |
Provider Name | Zachary D Pearce |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1821226697 PECOS PAC ID: 0547407173 Enrollment ID: I20130518000102 |
Provider Name | Kristen Naszradi |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1881949345 PECOS PAC ID: 2668629080 Enrollment ID: I20131218001686 |
Provider Name | Benjamin S Monson |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1164733614 PECOS PAC ID: 0840418000 Enrollment ID: I20140829001068 |
Provider Name | David Y Ellenberg |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1063749604 PECOS PAC ID: 6002054970 Enrollment ID: I20150225000531 |
Provider Name | Devon N St Louis |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821001199 PECOS PAC ID: 8426378464 Enrollment ID: I20150514002720 |
Provider Name | Felise May G Barte |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1467658062 PECOS PAC ID: 7517137086 Enrollment ID: I20160708000284 |
Provider Name | Bianca M Bilek |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245683770 PECOS PAC ID: 1052607074 Enrollment ID: I20160831000186 |
Provider Name | Bianca Kizy |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1548655152 PECOS PAC ID: 1153637723 Enrollment ID: I20190620001326 |
Provider Name | Mamta Kanwar |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1346738002 PECOS PAC ID: 6901154517 Enrollment ID: I20230508000766 |
Provider Name | Jacob Diskin |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1871053751 PECOS PAC ID: 6709113491 Enrollment ID: I20230509000615 |
Mailing Address | Practice Location Address |
---|---|
Michigan Ophthalmology Specialists, Pllc 30150 Telegraph Rd Ste 271, Bingham Farms, MI 48025-4521 Ph: (248) 395-5175 | Michigan Ophthalmology Specialists, Pllc 33400 6 Mile Rd, Livonia, MI 48152-3165 Ph: (734) 421-2020 |