Vitreo-Retinal Consultants, P.C.

LBN: Vitreo-Retinal Consultants, P.C.
Vitreo-Retinal Consultants, P.C. is an health care organization with primary practice located at 43800 Garfield Rd Suite 100, Clinton Township MI 48038-1136. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Vitreo-Retinal Consultants, P.C. can be contacted via phone (586) 228-8400, or through Joondeph, Howard Charles via phone (586) 228-8400.

Contact Information

Primary practice address
43800 Garfield Rd Suite 100 Clinton Township MI 48038-1136
Fax: (586) 228-7031
Website:
Authorized official contact:
Name: Joondeph, Howard Charles Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301036034 Michigan

Profile Details

NPI number 1902071251
LBN Legal business name Vitreo-Retinal Consultants, P.C.
DBA Doing business as
Authorized official Joondeph, Howard Charles Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 17 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 1902071251 NPPES
Michigan MEDICAID 1310966

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