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Contact Information

CHILDRENS EYE CARE PC
22731 NEWMAN ST STE 245
DEARBORN, MI48124-2023
 Phone: 313-561-1777
 Fax: 313-561-8044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Pediatric Ophthalmology and Strabismus Specialist

207WX0110X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for CHILDRENS EYE CARE PC

NPI # 1922069806
LBN Legal business name CHILDRENS EYE CARE PC
Authorized official JOHN ROARTY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/30/2006
Last updated 04/20/2020 - About 6 years ago
Identifiers
MI Medicaid 1534388
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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