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

General Provider Information

NPI Number	:	1659326031
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	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4085 CEDAR BLUFF DR # 632
Second Line	:
City	:	PETOSKEY
State	:	MI
Zip	:	49770-8697
Country	:	US
Telephone Number	:	231-439-9230
Fax Number	:	248-288-5644

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	01/04/2024

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