Organization
MICHIGAN OPHTHALMOLOGY SPECIALISTS, PLLC
Active
Other names
Clavenna Vision Institute, Fite Eye Center, Advanced Ophthalmology Associates, Rohr Eye & Laser Center, Coburn Kleinfeldt Eye Clinic PC, Ophthalmic Specialists of Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
NOSSONAL KLEINFELDT MD (CEO)
(734) 421-2020
Entity
Organization
Contact information
Practice address
33400 6 MILE RD, LIVONIA, MI 48152-3165
(734) 421-2020
(734) 421-2290
Mailing address
30150 TELEGRAPH RD STE 271, BINGHAM FARMS, MI 48025-4521
(248) 395-5175
(248) 395-5170
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M94750
WPS
MI
05
—
104485008
—
MI
05
—
104638662
—
MI
05
—
104966799
—
MI
05
—
104983299
—
MI
01
—
180H270190
BLUE CROSS BLUE SHIELD
MI
01
—
58117A
HEALTH ALLIANCE PLAN OF M
MI
01
—
C30473
PALMETTO GBA
MI
Enumeration date
02/02/2006
Last updated
03/01/2022
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