EYE SURGERY INSTITUTE
NPI 1386711547
Ophthalmology in Dearborn, MI

Active since November 30, 2006CLIA 23D2121801 · Waiver
15212 MICHIGAN AVE, DEARBORN, MI 48126(313) 582-8856(313) 582-8265 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eye Surgery Institute NPPES

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

EYE SURGERY INSTITUTE (NPI 1386711547) is a healthcare organization registered as an ophthalmology in Dearborn, Michigan and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through November 14, 2026 and lists Stanley Chase Grandon, Director, as its authorized official.

NPPES Registry Identity

NPI1386711547
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameASSOCIATED EYE PHYSICIANS OF DEARBORN PC
Location Address15212 MICHIGAN AVEDearborn, MI 48126-3497
Mailing Address15212 Michigan AveDearborn, MI 48126-3497 · (313) 582-8856 · Fax (313) 582-8265
Fax(313) 582-8265
Organization SubpartNo
Authorized OfficialStanley Chase GrandonDirector · (313) 582-8856
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 12, 2011
NPI 1386711547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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 ListedOptometristTaxonomy 152W00000X
15212 MICHIGAN AVE, Dearborn, MI 48126

Other Names 1

Doing Business AsEye Surgery Institute

Other Identifiers 2

Medicare PIN0Q26255MI
Medicare PIN0792390001MI

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2121801

Eye Surgery Institute · Dearborn, MI
Active · expires Nov 14, 2026
CLIA Number23D2121801
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorStanley C. Grandon
Laboratory Phone(313) 582-8856
Laboratory LocationEye Surgery Institute15212 Michigan Avenue, Dearborn, MI 48126
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
15212 MICHIGAN AVE
DEARBORN, MI 48126
Ophthalmology
15212 MICHIGAN AVE
DEARBORN, MI 48126
Otolaryngology
15212 MICHIGAN AVE
DEARBORN, MI 48126
Otolaryngology
15212 MICHIGAN AVE
DEARBORN, MI 48126
Audiologist
15212 MICHIGAN AVE
DEARBORN, MI 48126
Audiologist
15212 MICHIGAN AVE, DEARBORN HEARING AIDS INC
DEARBORN, MI 48126
Optometrist
15212 MICHIGAN AVE
DEARBORN, MI 48126
Ophthalmology
15212 MICHIGAN AVE
DEARBORN, MI 48126

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 Associated Eye Physicians Of Dearborn PC's NPI number?

The NPI number for Associated Eye Physicians Of Dearborn PC is 1386711547. It was assigned to this organization in the NPPES registry on November 30, 2006. The provider is doing business as Eye Surgery Institute.

Where is Associated Eye Physicians Of Dearborn PC located?

Associated Eye Physicians Of Dearborn PC is located at 15212 Michigan Ave, Dearborn, MI 48126. The listed phone number is (313) 582-8856.

What is Associated Eye Physicians Of Dearborn PC's specialty?

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

Does Associated Eye Physicians Of Dearborn PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2121801) is associated with this NPI, valid through November 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Associated Eye Physicians Of Dearborn PC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and BlueCross BlueShield of Tennessee and 1 other insurer list Associated Eye Physicians Of Dearborn PC 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 Associated Eye Physicians Of Dearborn PC was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.