Basic Information
Provider Information
NPI: 1316008774
EntityType: 2
ReplacementNPI:  
OrganizationName: MEI OPERATIONS, PLLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: MICHIGAN EYE INSTITUTE
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4499 TOWN CENTER PKWY
Address2:  
City: FLINT
State: MI
PostalCode: 485323425
CountryCode: US
TelephoneNumber: 8107337111
FaxNumber: 8107337141
Practice Location
Address1: 4499 TOWN CENTER PKWY
Address2:  
City: FLINT
State: MI
PostalCode: 485323425
CountryCode: US
TelephoneNumber: 8107337111
FaxNumber: 8107337141
Other Information
ProviderEnumerationDate: 12/12/2006
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: BIRCHMEIER
AuthorizedOfficialFirstName: DAWN
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: COMPLIANCE OFFICER
AuthorizedOfficialTelephone: 8107337111
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/31/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207W00000X MIY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansOphthalmology 

No ID Information.


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