RICHARD C MERTZ JR MD PC NPI 1043395502

NPI Information

NPI: 1043395502
Provider Name: RICHARD C MERTZ JR MD PC

Doing Business As: METROPOLITAN EYE CENTER AND OUTPATIENT SURGICAL FACILITY

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
21711 GREATER MACK AVE
SAINT CLAIR SHORES, MI
ZIP 48080
Phone: (586) 774-0393
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RICHARD C MERTZ JR MD PC is an ambulatory surgical clinic center in Saint Clair Shores, MI. RICHARD C MERTZ JR MD PC NPI is 1043395502. The provider is registered as an organization entity type.
The provider Is Doing Business As Metropolitan Eye Center And Outpatient Surgical Facility.

The provider's business location address is:

21711 GREATER MACK AVE
SAINT CLAIR SHORES, MI
ZIP 48080-418
Phone: (586) 774-0393

The provider's authorized official is James W Klein .
The authorized official title is Medical Director and has the following contact phone number (586) 774-0393.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 6/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0E07000	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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