Organization
ASSOCIATED RETINAL CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN JOEL RUBY (OWNER)
(248) 319-0161
Entity
Organization
Contact information
Practice address
2140 UNIVERSITY PARK DR STE 230, OKEMOS, MI 48864-4073
(517) 518-3056
(231) 938-0264
Mailing address
2000 N HURON RIVER DR STE 100, YPSILANTI, MI 48197-1600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180Q26082
BCBS GRP #
—
01
—
791183369
MEDICARE RAILROAD GRP #
—
01
—
G00698
BCN GRP #
—
Enumeration date
05/27/2006
Last updated
01/04/2024
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