Provider Demographics
NPI:1245332980
Name:OAKLAND EYE CARE, P.C.
Entity type:Organization
Organization Name:OAKLAND EYE CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:W
Authorized Official - Last Name:BIGGS
Authorized Official - Suffix:II
Authorized Official - Credentials:DO
Authorized Official - Phone:248-620-3000
Mailing Address - Street 1:5825 S MAIN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-2983
Mailing Address - Country:US
Mailing Address - Phone:248-620-3000
Mailing Address - Fax:248-620-0110
Practice Address - Street 1:5825 S MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-2983
Practice Address - Country:US
Practice Address - Phone:248-620-3000
Practice Address - Fax:248-620-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101010245207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3158402Medicaid
MI3158402Medicaid
MI5813440001Medicare NSC
MIF37792Medicare UPIN
MI0P41860Medicare PIN