Healthcare Provider Details

I. General information

NPI: 1477327500
Provider Name (Legal Business Name): AGGARWAL EYE CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2023
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10501 TELEGRAPH RD STE 102
TAYLOR MI
48180-3376
US

IV. Provider business mailing address

3756 LINCOLN RD
BLOOMFIELD HILLS MI
48301-3958
US

V. Phone/Fax

Practice location:
  • Phone: 313-228-5341
  • Fax:
Mailing address:
  • Phone:
  • 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: DR. HIMANSHU AGGARWAL
Title or Position: OWNER
Credential: MD
Phone: 248-790-5380