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LAKE LAZER EYE CENTER NPI 1376732388


NPI Information

NPI: 1376732388
Provider Name: LAKE LAZER EYE CENTER
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
44000 W 12 MILE RD
SUITE 112
NOVI, MI
ZIP 48377
Phone: (586) 792-3891
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LAKE LAZER EYE CENTER is a preferred provider organization in Novi, MI. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. LAKE LAZER EYE CENTER NPI is 1376732388. The provider is registered as an organization entity type.

The provider's business location address is:

44000 W 12 MILE RD
SUITE 112
NOVI, MI
ZIP 48377-644
Phone: (586) 792-3891

The provider's authorized official is Shabbir Khambati .
The authorized official title is Preident and has the following contact phone number (586) 792-3891.

The enumeration date for this NPI number is 10/16/2007 and was last updated on 5/6/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider OrganizationSK070791MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10501160OTHERMICHIGANBLUE CARE NETWORK
26015010002MEDICARE NSCMICHIGAN
30N32640MEDICARE PINMICHIGAN
4N32640001MEDICARE PINMICHIGAN
5140631OTHERMICHIGANGREAT LAKES
6H42351OTHERMICHIGANHAP
74606945MEDICAIDMICHIGAN
80501160OTHERMICHIGANBLUE CROSS BLUE SHIELD

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.