CONSULTANTS IN OPTHAMOLOGY PC
NPI 1780779678
Ophthalmology in Detroit, MI

Active since October 04, 2006CLIA 23D2030123 · Waiver
7633 EAST JEFFERSON, SUITE 120, DETROIT, MI 48214(313) 824-8941(313) 824-1115 Get Directions Write a Review

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Consultants In Opthamology Pc NPPES

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

CONSULTANTS IN OPTHAMOLOGY PC (NPI 1780779678) is a healthcare organization registered as an ophthalmology in Detroit, Michigan and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through February 19, 2028 and lists Otis Ferguson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1780779678
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameOTIS B. FERGUSON III MD PC
Location Address7633 EAST JEFFERSON, SUITE 120Detroit, MI 48214
Mailing Address7633 East Jefferson, Suite 120Detroit, MI 48214 · (313) 824-8941 · Fax (313) 824-1115
Fax(313) 824-1115
Organization SubpartNo
Authorized OfficialOtis FergusonAdministrator · (313) 824-8941
Enumeration DateOctober 4, 2006
Last NPPES UpdateMarch 11, 2008
✔ NPI 1780779678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MI · 066409
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.
7633 EAST JEFFERSON, Detroit, MI 48214

Other Names 1

Doing Business AsConsultants In Opthamology Pc

Other Identifiers 2

Medicare NSC1169640001
Medicare PIN0P28580

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Consultants In Opthamology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20060303000227Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Consultants In Opthamology PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ophthalmology
NPI 1215013297
7633 E JEFFERSON STE 120
Detroit, MI 48214
(313) 824-8941
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1932606951
7633 E JEFFERSON AVE STE 120
Detroit, MI 48214
(248) 885-0497
✔ PECOS✔ Accepts Medicare0.1 mi

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 23D2030123

Consultants In Ophthalmology · Detroit, MI
Active · expires Feb 19, 2028
CLIA Number23D2030123
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorOtis B. Ferguson III
Laboratory Phone(313) 824-8941
Laboratory LocationConsultants In Ophthalmology7633 E Jefferson, Ste 120, Detroit, MI 48214
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Otis B. Ferguson III MD PC's NPI number?

The NPI number for Otis B. Ferguson III MD PC is 1780779678. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as Consultants In Opthamology PC.

Where is Otis B. Ferguson III MD PC located?

Otis B. Ferguson III MD PC is located at 7633 East Jefferson Suite 120, Detroit, MI 48214. The listed phone number is (313) 824-8941.

What is Otis B. Ferguson III MD PC's specialty?

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

Is Otis B. Ferguson III MD PC enrolled in Medicare?

Yes. Otis B. Ferguson III MD PC is registered in the Medicare PECOS enrollment system.

When is Otis B. Ferguson III MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Otis B. Ferguson III MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Otis B. Ferguson III MD 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Otis B. Ferguson III MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2030123) is associated with this NPI, valid through February 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Otis B. Ferguson III MD 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 Otis B. Ferguson III MD 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 Otis B. Ferguson III MD PC was last updated on March 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.