MEDICARE: ASSOCIATED RETINAL CONSULTANTS, PC

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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	791183369	OTHER		MEDICARE RAILROAD GRP #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G00698	OTHER		BCN GRP #
2	180Q26082	OTHER		BCBS GRP #

General Provider Information

NPI Number	:	1184670234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATED RETINAL CONSULTANTS, PC

Provider Business Mailing Address
First Line	:	2000 N HURON RIVER DR STE 100
Second Line	:
City	:	YPSILANTI
State	:	MI
Zip	:	48197-1600
Country	:	US
Telephone Number	:	734-572-1200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 W UNIVERSITY DR STE 102
Second Line	:
City	:	ROCHESTER
State	:	MI
Zip	:	48307-1876
Country	:	US
Telephone Number	:	248-652-7400
Fax Number	:	248-652-7589

Authorized Official
Title or Position	:	OWNER
Name	:	ALAN JOEL RUBY
Credential	:
Telephone Number	:	248-319-0161

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	01/04/2024

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Directions to “ASSOCIATED RETINAL CONSULTANTS, PC ” Practice Location

Language	Start Address	Practice Location

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