EYE SURGERY INSTITUTE
NPI 1386711547
Ophthalmology in Dearborn, MI
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
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eye Surgery Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Eye Surgery Institute, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MIFrequently 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.
Is Associated Eye Physicians Of Dearborn PC enrolled in Medicare?
Yes. Associated Eye Physicians Of Dearborn PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Associated Eye Physicians Of Dearborn PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Associated Eye Physicians Of Dearborn PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 4 other insurers 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.
# Eye Surgery Institute · NPI 1386711547
Ophthalmology organization in Dearborn, Michigan. Organization record, active in the CMS NPPES registry since November 30, 2006.
## Identity
- **NPI:** 1386711547 (Entity type: Organization)
- **Enumerated:** November 30, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Legal business name:** Associated Eye Physicians Of Dearborn Pc
- **Organization subpart:** No
- **Authorized official:** Stanley Grandon, DIRECTOR
## Practice location
- **Address:** 15212 MICHIGAN AVE, Dearborn, MI 48126-3497
- **Phone:** (313) 582-8856 · **Fax:** (313) 582-8265
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2011
- **Other identifiers:** Medicare PIN 0Q26255 (MI); Medicare PIN 0792390001 (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1386711547) · Data from the CMS NPPES public registry.