MEDICARE: UNIVERSITY OF DETROIT MERCY

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	152W00000X	Optometrist

General Provider Information

NPI Number	:	1427833383
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF DETROIT MERCY

Provider Business Mailing Address
First Line	:	4001 W MCNICHOLS RD
Second Line	:	STUDENT UNION 263
City	:	DETROIT
State	:	MI
Zip	:	48221-3038
Country	:	US
Telephone Number	:	313-993-1951
Fax Number	:	313-993-1011

Provider Business Practice Location Address
First Line	:	41555 W 12 MILE RD
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48377-3103
Country	:	US
Telephone Number	:	313-494-6954
Fax Number	:	313-494-6627

Authorized Official
Title or Position	:	SENIOR ATTORNEY & CORP SECRETARY
Name	:	MONICA M BARBOUR
Credential	:	JD
Telephone Number	:	313-993-1951

Provider Enumeration Date	:	08/29/2023
Last Update Date	:	11/06/2025

Similar Medicare Providers

1184295982 — ELIZA MOREY OD
Practice Location Address:

41555 W TWELVE MILE RD
NOVI, MI
48377-3103

Practice Phone: 248-675-0800
Practice Fax:

1447273677 — AMY S FERGUSON OD
Practice Location Address:

41555 W TWELVE MILE RD
NOVI, MI
48377-3103

Practice Phone: 248-675-0800
Practice Fax: 248-675-0545

1639788961 — BRANDEE NELSON OD
Practice Location Address:

41555 W TWELVE MILE RD
NOVI, MI
48377-3103

Practice Phone: 248-675-0800
Practice Fax: 248-675-0545

1871223644 — DR. HADY H SROUR OD
Practice Location Address:

41555 W 12 MILE RD
NOVI, MI
48377-3103

Practice Phone: 248-675-0800
Practice Fax:

1366179798 — MIRANDA GEISINGER OD
Practice Location Address:

41555 W TWELVE MILE RD
NOVI, MI
48377-3103

Practice Phone: 248-675-0800
Practice Fax: 248-675-0545

1114858768 — HAPPIER AT HOME METRO DETROIT
Practice Location Address:

28175 HAGGERTY RD
NOVI, MI
48377-2903

Practice Phone: 248-677-2480
Practice Fax:

Directions to “UNIVERSITY OF DETROIT MERCY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.