Provider Demographics
NPI:1386771780
Name:HAROLD SCHIFF O.D., P.C.
Entity type:Organization
Organization Name:HAROLD SCHIFF O.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIFF
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:248-470-5300
Mailing Address - Street 1:4133 WINTERSET LN
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-3155
Mailing Address - Country:US
Mailing Address - Phone:248-470-5300
Mailing Address - Fax:
Practice Address - Street 1:19216 FORT ST
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:MI
Practice Address - Zip Code:48193-6702
Practice Address - Country:US
Practice Address - Phone:734-479-5300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901002620152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0H26501OtherBLUE CROSS & BLUE SHIELD
MI0H26501OtherBLUE CROSS & BLUE SHIELD