Lake Lazer Eye Center

LBN: Lake Lazer Eye Center
Lake Lazer Eye Center is an health care organization with primary practice located at 44000 W 12 Mile Rd Suite 112, Novi MI 48377-2644. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Lake Lazer Eye Center can be contacted via phone (586) 792-3891, or through Khambati, Shabbir via phone (586) 792-3891.

Contact Information

Primary practice address
44000 W 12 Mile Rd Suite 112 Novi MI 48377-2644
Phone: (586) 792-3891
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Khambati, Shabbir Doctor of Medicine (MD)
Phone: (586) 792-3891

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X SK070791 Michigan

Profile Details

NPI number 1376732388
LBN Legal business name Lake Lazer Eye Center
DBA Doing business as
Authorized official Khambati, Shabbir Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 16th, 2007
Last updated May 6th, 2008 - 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 1376732388 NPPES
Michigan Other H42351 HAP
Michigan Other 0501160 HAP
Michigan Other 140631 HAP
Michigan MEDICAID 4606945 HAP
Michigan Other 0501160 HAP

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