Healthcare Provider Details

I. General information

NPI: 1023065034
Provider Name (Legal Business Name): ASSOCIATED RETINAL CONSULTANTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 12/18/2023
Certification Date: 12/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4050 RIVER RD
EAST CHINA MI
48054-2931
US

IV. Provider business mailing address

2000 N HURON RIVER DR STE 100
YPSILANTI MI
48197-1600
US

V. Phone/Fax

Practice location:
  • Phone: 248-288-2280
  • Fax: 248-288-5644
Mailing address:
  • Phone: 734-572-1200
  • Fax: 248-319-0170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALAN JOEL RUBY
Title or Position: OWNER
Credential: MD
Phone: 248-709-7436