Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Macular Renewal Center PLLC

Organization Ophthalmology Physician · NPI 1407716574

Macular Renewal Center PLLC is an Ophthalmology Physician in Flint, Michigan. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5300 Gateway Ctr Ste B
Flint, MI 48507-3930
Phone: (810) 410-7383
Fax: (810) 720-9098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X

Record details

NPI number1407716574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Stack — Owner · (810) 410-7383
NPI enumeratedNovember 12, 2025
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing address5300 Gateway Ctr Ste B, Flint, MI 48507-3930

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