Pediatric Ophthalmology Associate

LBN: Childrens Eye Care Pc
Pediatric Ophthalmology Associate is an health care organization with primary practice located at 22731 Newman St Ste 245 , Dearborn MI 48124-2023. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Childrens Eye Care Pc can be contacted via phone (313) 561-1777, or through Roarty, John via phone (313) 561-1777.

Contact Information

Primary practice address
22731 Newman St Ste 245 Dearborn MI 48124-2023
Phone: (313) 561-1777
Fax: (313) 561-8044
Website:
Map and Directions
Authorized official contact:
Name: Roarty, John Doctor of Medicine (MD)
Phone: (313) 561-1777

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1922069806
LBN Legal business name Childrens Eye Care Pc
DBA Doing business as Pediatric Ophthalmology Associate
Authorized official Roarty, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2006
Last updated Apr 20th, 2020 - about 4 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 1922069806 NPPES
Michigan MEDICAID 1534388

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