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PORT HURON OPHTHALMOLOGY, PLLC
NPI 1376558122
Ophthalmology in Port Huron, MI

Active since July 30, 2006
1660 STONE ST, PORT HURON, MI 48060(810) 985-9600(810) 985-9244 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Port Huron Ophthalmology, Pllc NPPES

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

PORT HURON OPHTHALMOLOGY, PLLC (NPI 1376558122) is a healthcare organization registered as an ophthalmology in Port Huron, Michigan and active in the NPI registry since July 2006. The organization lists Brenda Jean Favero, Administrator, as its authorized official.

NPPES Registry Identity

NPI1376558122
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NamePORT HURON OPHTHALMOLOGY, PLLC
Location Address1660 STONE STPort Huron, MI 48060-3344
Mailing Address1660 Stone StPort Huron, MI 48060-3344 · (810) 985-9600 · Fax (810) 985-9244
Phone(810) 985-9600
Fax(810) 985-9244
Organization SubpartNo
Authorized OfficialBrenda Jean FaveroAdministrator · (810) 985-9600
Enumeration DateJuly 30, 2006
Last NPPES UpdateNovember 24, 2021
NPPES CertifiedNovember 24, 2021
✔ NPI 1376558122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MI · BF064615
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.
1660 STONE ST, Port Huron, MI 48060
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Other Identifiers 2

Other180028563MI · United Healthcare
Other180G412660MI · Bcbsm Grp

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Port Huron Ophthalmology, PLLC's NPI number?

The NPI number for Port Huron Ophthalmology, PLLC is 1376558122. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Port Huron Ophthalmology, PLLC located?

Port Huron Ophthalmology, PLLC is located at 1660 Stone St, Port Huron, MI 48060. The listed phone number is (810) 985-9600.

What is Port Huron Ophthalmology, PLLC's specialty?

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

What insurance does Port Huron Ophthalmology, PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Port Huron Ophthalmology, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Port Huron Ophthalmology, PLLC was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.