East Detroit Ophthalmology P.C.

LBN: East Detroit Ophthalmology P.C.
East Detroit Ophthalmology P.C. is an health care organization with primary practice located at 22835 Kelly Rd , Eastpointe MI 48021-2073. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. East Detroit Ophthalmology P.C. can be contacted via phone (586) 778-4400, or through Colombo, John via phone (586) 778-4400.

Contact Information

Primary practice address
22835 Kelly Rd Eastpointe MI 48021-2073
Phone: (586) 778-4400
Fax: (586) 778-3642
Website:
Map and Directions
Authorized official contact:
Name: Colombo, John Doctor of Medicine (MD)
Phone: (586) 778-4400

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X JC026758 Michigan

Profile Details

NPI number 1124181763
LBN Legal business name East Detroit Ophthalmology P.C.
DBA Doing business as
Authorized official Colombo, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Mar 1st, 2010 - about 16 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 1124181763 NPPES
Michigan MEDICAID 3456128
Michigan Other OEO7713

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