Cedar Run Eye Center, Pllc, NPI 1518029909
Ophthalmology Physician in Traverse City, MI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1518029909 |
| NPI Entity Type | Organization |
| Provider Name | Cedar Run Eye Center, Pllc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 3830 W Front St, Traverse City, MI, US |
| Provider Mailing Address | 3830 W Front St, Traverse City, MI, US, 496848153 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. M.D. Timothy B. Hanley |
| Official Position | OWNER |
| Phone | 231-929-3888 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Ophthalmology Physician |
| Classification | |
| Group | |
| License No. | 4301048021 |
| License State | MI |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 4301048021 | MI | No | |||
| 4901003094 | MI | No | |||
| 4901003086 | MI | No | |||
| 4901004107 | MI | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 900001413 | MI | PRIORITY - CREC | 01 |
| 900B86347001 | MI | BCBSM | 01 |
| 180B86357 | MI | BCBS TBH | 01 |
| 900B86347003 | MI | BCBSM | 01 |
| 1134113517 | MI | RAILROAD MEDICARE/CIZEK | 01 |
| 900B86347 | MI | BCBS OPTOM GROUP | 01 |
| 943166469 | MI | MEDICAID | 05 |
| 943166487 | MI | MEDICAID | 05 |
| CN1586 | MI | RAILROAD MEDICARE/CREC | 01 |
| 943166496 | MI | MEDICAID | 05 |
| 1020070001 | MI | DMERC REGION B | 01 |
| 102022 | MI | PREFERRED CHOICE | 01 |
| 1144214180 | MI | RAILROAD MEDICARE/HANLEY | 01 |
| CG1308 | MI | RAILROAD MEDICARE/TSC | 01 |
| 103164508 | MI | MEDICAID | 05 |
| 1497736102 | MI | RAILROAD MEDICARE/HUMMEL | 01 |
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