REBECCA P TISCH M.D. NPI 1679576821

NPI Information

NPI: 1679576821
Provider Name: REBECCA P TISCH, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
7949 N CANTON CENTER RD
CANTON, MI
ZIP 48187
Phone: (734) 459-7850
Get Directions

Rebecca P Tisch, M.D. is an ophthalmology in Canton, MI. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Rebecca P Tisch, M.D. NPI is 1679576821. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7949 N CANTON CENTER RD
CANTON, MI
ZIP 48187-533
Phone: (734) 459-7850
Fax: (734) 459-5799

The enumeration date for this NPI number is 5/23/2005 and was last updated on 7/8/2007.

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	207W00000X	Ophthalmology		4301407480	MICHIGAN	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	E41305	MEDICARE UPIN	MICHIGAN
2	000000004109	OTHER	MICHIGAN	CAPE MEDICAID
3	103675	OTHER	MICHIGAN	CARE CHOICES
4	B6710	OTHER	MASSACHUSETTS	MCARE
5	15709	OTHER	MICHIGAN	SPECTERA
6	79834	OTHER	MICHIGAN	ONE HEALTH PLAN
7	1208226271	OTHER	MICHIGAN	BLUE CROSS AND BLUE SHIEL
8	1505581001	OTHER	MICHIGAN	CIGNA
9	P50982	OTHER	MICHIGAN	BLUE CARE NETWORK
10	4301407480	OTHER	MICHIGAN	STATE LICENSE NUMBER
11	0823836	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
12	2667834	MEDICAID	MICHIGAN
13	028226	OTHER	MICHIGAN	MIDWEST HEALTH
14	4123804	OTHER	MICHIGAN	AETNA

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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