MEDICARE: BRIGHTON VISION CENTER, PLC

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	207W00000X	Ophthalmology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	18-0-D7-1162-0	OTHER	MI	BCBSM PIN #

General Provider Information

NPI Number	:	1053342568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTON VISION CENTER, PLC

Provider Business Mailing Address
First Line	:	2305 GENOA BUSINESS PARK DR.
Second Line	:	SUITE 250
City	:	BRIGHTON
State	:	MI
Zip	:	48114
Country	:	US
Telephone Number	:	810-494-2020
Fax Number	:	810-494-0127

Provider Business Practice Location Address
First Line	:	2305 GENOA BUSINESS PARK DR STE 250
Second Line	:
City	:	BRIGHTON
State	:	MI
Zip	:	48114-7006
Country	:	US
Telephone Number	:	810-494-2020
Fax Number	:	810-494-0127

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. AYAD FARJO
Credential	:	M.D.
Telephone Number	:	810-494-2020

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	11/06/2025

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Directions to “BRIGHTON VISION CENTER, PLC ” Practice Location

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