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

Dr. Edward Korot, MD

Individual provider Ophthalmology Physician · NPI 1669853768

Dr. Edward Korot, MD is an Ophthalmology in Grand Rapids, Michigan. Graduated from Michigan State University College of Human Medicine in 2015, 11 years ago. Practices with Retina Specialists of Michigan PC, a 10-clinician group and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
11
Trained at
Michigan State University College of Human Medicine
Licensed in
CA, MI
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5030 Cascade Rd SE
Grand Rapids, MI 49546-3725
Phone: (616) 954-2020
Fax: (616) 949-0408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X · Licence 4301507112 (MI)
Ophthalmology Physician Taxonomy 207W00000X · Licence A168016 (CA)

Record details

NPI number1669853768
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2015
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023
Mailing address300 Pasteur Dr, Stanford, CA 94305-2200

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2015 (11 years in practice)
Group practice Retina Specialists Of Michigan Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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