Healthcare Provider Details

I. General information

NPI: 1184670234
Provider Name (Legal Business Name): ASSOCIATED RETINAL CONSULTANTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W UNIVERSITY DR STE 102
ROCHESTER MI
48307-1876
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 248-652-7400
  • Fax: 248-652-7589
Mailing address:
  • Phone: 734-572-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALAN JOEL RUBY
Title or Position: OWNER
Credential:
Phone: 248-319-0161