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SPECIALTY EYE INSTITUTE
NPI 1649275041
Ophthalmology in Jackson, MI

Active since June 14, 2005
1116 W. GANSON STREET, JACKSON, MI 49202(877) 852-8463(517) 817-0144 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 26, 2018, Jun 21, 2017, Mar 21, 2017 (3 updates tracked since 2017).

About Specialty Eye Institute NPPES

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

SPECIALTY EYE INSTITUTE (NPI 1649275041) is a healthcare organization registered as an ophthalmology in Jackson, Michigan and active in the NPI registry since June 2005. The organization lists Thomas T Roark, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649275041
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMID MICHIGAN EYE CARE CENTER, PC
Location Address1116 W. GANSON STREETJackson, MI 49202-4240
Mailing Address850 W. North Street, Ste. 104Jackson, MI 49202-3196 · (877) 852-8463 · Fax (517) 817-0144
Phone(877) 852-8463
Fax(517) 817-0144
Organization SubpartNo
Authorized OfficialThomas T RoarkCeo · (517) 841-3007
Enumeration DateJune 14, 2005
Last NPPES UpdateNovember 26, 20183 updates tracked since enumeration
✔ NPI 1649275041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MI · 4301034151
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
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X
1116 W. GANSON STREET, Jackson, MI 49202
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Other Names 1

Doing Business AsSpecialty Eye Institute

Other Identifiers 7

OtherCC5220MI · Railroad Medicare
Other180C846310MI · Bcbsm
OtherC31544MI · Railroad Medicare
Other900N834800MI · Bcbsm
Other180H149970MI · Bcbsm
Other900C848370MI · Bcbsm
Other900H115380Bcbsm

Group Practice 2

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
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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Mid Michigan Eye Care Center, PC's NPI number?

The NPI number for Mid Michigan Eye Care Center, PC is 1649275041. It was assigned to this organization in the NPPES registry on June 14, 2005. The provider is doing business as Specialty Eye Institute.

Where is Mid Michigan Eye Care Center, PC located?

Mid Michigan Eye Care Center, PC is located at 1116 W. Ganson Street, Jackson, MI 49202. The listed phone number is (877) 852-8463.

What is Mid Michigan Eye Care Center, PC's specialty?

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

What insurance does Mid Michigan Eye Care Center, PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mid Michigan Eye Care Center, 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 Mid Michigan Eye Care Center, PC was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.