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EYE TRAVEL,PC
NPI 1982709861
Ophthalmology in Southfield, MI

Active since September 14, 2006
15914 JEANETTE ST, SOUTHFIELD, MI 48075(248) 569-7747(248) 569-7054 Get Directions Write a Review

NPPES record last updated: April 23, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eye Travel,pc NPPES

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

EYE TRAVEL,PC (NPI 1982709861) is a healthcare organization registered as an ophthalmology in Southfield, Michigan and active in the NPI registry since September 2006. The organization lists Linda Zacks, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1982709861
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEYE TRAVEL,PC
Location Address15914 JEANETTE STSouthfield, MI 48075-2013
Mailing Address15914 Jeanette StSouthfield, MI 48075-2013 · (248) 569-7747 · Fax (248) 569-7054
Phone(248) 569-7747
Fax(248) 569-7054
Organization SubpartNo
Authorized OfficialLinda ZacksTreasurer · (248) 569-7747
Enumeration DateSeptember 14, 2006
Last NPPES UpdateApril 23, 2012
✔ NPI 1982709861 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.
15914 JEANETTE ST, Southfield, MI 48075
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Other Identifiers 1

Other0F36342MI · Blue Cross

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

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)

Eye Travel,pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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 IDO20040423000404Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 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 Eye Travel,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)

Yaakov Zacks, OD
Optometry
NPI 1720197759
16232 SHERFIELD PL
Southfield, MI 48075
(248) 376-6046
✔ PECOS0.2 mi
Michelle Kornblum, MD
Ophthalmology
NPI 1093019465
29927 6 MILE RD
Livonia, MI 48152
(734) 522-0800
✔ PECOS✔ Accepts Medicare8.2 mi

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 Eye Travel,pc's NPI number?

The NPI number for Eye Travel,pc is 1982709861. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Eye Travel,pc located?

Eye Travel,pc is located at 15914 Jeanette St, Southfield, MI 48075. The listed phone number is (248) 569-7747.

What is Eye Travel,pc's specialty?

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

Is Eye Travel,pc enrolled in Medicare?

Yes. Eye Travel,pc is registered in the Medicare PECOS enrollment system.

When is Eye Travel,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 February 28, 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 Eye Travel,pc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Eye Travel,pc, in Ophthalmology and Optometry. 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.

When was this NPI record last updated?

The NPPES record for Eye Travel,pc was last updated on April 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.