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MACULAR RENEWAL CENTER PLLC
NPI 1407716574
Ophthalmology in Flint, MI

Active since November 12, 2025
5300 GATEWAY CTR STE B, FLINT, MI 48507(810) 410-7383(810) 720-9098 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2026, Nov 12, 2025 (2 updates tracked since 2025).

About Macular Renewal Center Pllc NPPES

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

MACULAR RENEWAL CENTER PLLC (NPI 1407716574) is a healthcare organization registered as an ophthalmology in Flint, Michigan and active in the NPI registry since November 2025. The organization lists Edward Patrick Stack, Owner, as its authorized official.

NPPES Registry Identity

NPI1407716574
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMACULAR RENEWAL CENTER PLLC
Location Address5300 GATEWAY CTR STE BFlint, MI 48507-3930
Mailing Address5300 Gateway Ctr Ste BFlint, MI 48507-3930 · (810) 410-3001 · Fax (810) 720-9098
Phone(810) 410-7383
Fax(810) 720-9098
Organization SubpartNo
Authorized OfficialEdward Patrick StackOwner · (810) 410-7383
Enumeration DateNovember 12, 2025
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1407716574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
5300 GATEWAY CTR STE B, Flint, MI 48507
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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 Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Macular Renewal Center Pllc 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 Macular Renewal Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Edward Stack, M.D.
Ophthalmology
NPI 1801899885
5300 GATEWAY CTR
Flint, MI 48507
(810) 720-9111
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Macular Renewal Center PLLC's NPI number?

The NPI number for Macular Renewal Center PLLC is 1407716574. It was assigned to this organization in the NPPES registry on November 12, 2025.

Where is Macular Renewal Center PLLC located?

Macular Renewal Center PLLC is located at 5300 Gateway Ctr Ste B, Flint, MI 48507. The listed phone number is (810) 410-7383.

What is Macular Renewal Center PLLC's specialty?

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

Is Macular Renewal Center PLLC enrolled in Medicare?

Yes. Macular Renewal Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Macular Renewal Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Macular Renewal Center PLLC. 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.

What insurance does Macular Renewal Center PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Macular Renewal Center 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 Macular Renewal Center PLLC was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.