=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285400952
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NESI ELOFF OCULOPLASTICS PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/04/2023
-----------------------------------------------------
Last Update Date | 12/04/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 44067 GREENVIEW LN
-----------------------------------------------------
City | NORTHVILLE
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48168-8454
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-300-7375
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 44067 GREENVIEW LN
-----------------------------------------------------
City | NORTHVILLE
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48168-8454
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-300-7375
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. FRANCESCA DANIELLA NESI-ELOFF
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 313-300-7375
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207WX0200X
-----------------------------------------------------
Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------