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

Northland Retina Assoc

Organization Ophthalmology Physician · NPI 1760586861

Northland Retina Assoc is an Ophthalmology Physician in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

22250 Providence Dr Ste 607
Southfield, MI 48075
Phone: (248) 569-0131
Fax: (248) 569-0132
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 4301023890 (MI)

Record details

NPI number1760586861
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frederick Heyner — President · (248) 569-0131
Other names Oakland Retina Cons
NPI enumeratedSeptember 11, 2006
Last updated in NPPESAugust 22, 2020
Mailing address22250 Providence Dr, Ste 607, Southfield, MI 48075

Other providers in Southfield