MEDICARE: DISKIN DISKIN & KEOLEIAN DBA MICHIGAN EYE INSTITUTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	GK407137	MI

General Provider Information

NPI Number	:	1871926279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISKIN DISKIN & KEOLEIAN DBA MICHIGAN EYE INSTITUTE

Provider Business Mailing Address
First Line	:	4499 TOWN CENTER PKWY
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48532-3425
Country	:	US
Telephone Number	:	810-733-7111
Fax Number	:	810-733-7141

Provider Business Practice Location Address
First Line	:	16255 SILVER PKWY
Second Line	:
City	:	FENTON
State	:	MI
Zip	:	48430-3428
Country	:	US
Telephone Number	:	810-629-7900
Fax Number	:	810-629-3937

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	MR. BRIAN HAYES
Credential	:
Telephone Number	:	810-733-7111

Provider Enumeration Date	:	08/21/2013
Last Update Date	:	08/21/2013

Similar Medicare Providers

1114876687 — LUTHER SAVAGE LLPC
Practice Location Address:

127 N RIVER ST
FENTON, MI
48430-3800

Practice Phone: 810-309-9355
Practice Fax: 810-750-1152

1396694691 — ASHLEY TIBBS
Practice Location Address:

202 W SHIAWASSEE AVE STE 114
FENTON, MI
48430-2093

Practice Phone: 248-780-9030
Practice Fax:

1750231981 — OVERSTRIDE LLC
Practice Location Address:

13131 FOLEY RD
FENTON, MI
48430-8408

Practice Phone: 810-499-9336
Practice Fax:

1831928548 — CHRISTY MARIE DAENZER LLMSW
Practice Location Address:

15173 NORTH RD STE 100
FENTON, MI
48430-1381

Practice Phone: 810-771-4074
Practice Fax:

1326917394 — KROGER CO OF MICHIGAN
Practice Location Address:

15100 SILVER PKWY
FENTON, MI
48430-3449

Practice Phone: 810-208-2210
Practice Fax: 810-208-2205

1306795232 — RADICALLY GENUINE THERAPY SERVICES L.L.C.
Practice Location Address:

13132 NORTH RD
FENTON, MI
48430-1085

Practice Phone: 810-666-0492
Practice Fax:

Directions to “DISKIN DISKIN & KEOLEIAN DBA MICHIGAN EYE INSTITUTE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.