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

Port Huron Ophthalmology, PLLC

Organization Ophthalmology Physician · NPI 1376558122

Port Huron Ophthalmology, PLLC is an Ophthalmology Physician in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1660 Stone St
Port Huron, MI 48060-3344
Phone: (810) 985-9600
Fax: (810) 985-9244
Show map & directions

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

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence BF064615 (MI)

Record details

NPI number1376558122
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brenda Favero — Administrator · (810) 985-9600
NPI enumeratedJuly 30, 2006
Last updated in NPPESNovember 24, 2021
Certification dateNovember 24, 2021
Mailing address1660 Stone St, Port Huron, MI 48060-3344

Other providers in Port Huron