LYNA AZZOUZ
NPI 1255075982
Ophthalmology in Detroit, MI

Q: What is Lyna Azzouz's NPI number?

The NPI number for Lyna Azzouz is 1255075982. It was assigned to this individual provider in the NPPES registry on April 27, 2022.

Q: What is Lyna Azzouz's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Lyna Azzouz was last updated on May 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 27, 2022PECOS Enrolled

4717 SAINT ANTOINE ST, DETROIT, MI 48201(313) 577-8900 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2026, Apr 27, 2022 (2 updates tracked since 2022).

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About Lyna Azzouz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNA AZZOUZ (NPI 1255075982) is an individual ophthalmology provider in Detroit, Michigan, licensed in Michigan (4301516290) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2022).

NPPES Registry Identity

NPI1255075982

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameLYNA AZZOUZ

Location Address4717 SAINT ANTOINE STDetroit, MI 48201-1423

Mailing Address400 Mack AveDetroit, MI 48201-2136

Phone(313) 577-8900

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2022

Enumeration DateApril 27, 2022

Last NPPES UpdateMay 27, 20262 updates tracked since enumeration

NPPES CertifiedMay 27, 2026

✔ NPI 1255075982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MI · 4301516290

Definition

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4717 SAINT ANTOINE ST, Detroit, MI 48201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lyna Azzouz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880164250

PECOS Enrollment IDI20260527001048

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.