DR. RICHARD L WATNICK (NPI# 1144211699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144211699 |
| Entity Type | Individual |
| Full Name | DR. RICHARD L WATNICK |
| Credential | MD |
| Practice Address |
25350 Kelly Rd Roseville MI 48066-5824 |
| Mailing Address |
25350 Kelly Rd Roseville MI 48066-4904 |
| Practice Telephone | 5867721990 |
| Practice Fax Number | 5867721137 |
| Mailing Telephone | 5867721990 |
| Mailing Fax Number | 5867721137 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2016-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 4301405297 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
25350 KELLY RD |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-5824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275762098 | David M Zalenski Md Pllc | Obstetrics & Gynecology | 25350 Kelly Rd, Roseville, MI 48066-4961 | 2009-07-14 |
| 1710109939 | Tom Obertynski | Ophthalmology | 25350 Kelly Rd, Roseville, MI 48066 | 2007-05-03 |
| 1306959374 | Family Practice Care Pllc | General Practice | 25350 Kelly Rd, Roseville, MI 48066-4961 | 2006-08-16 |
| 1073540324 | Richard Watnick Md PC | Specialist | 25350 Kelly Rd, Roseville, MI 48066-5824 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841624525 | Gabriel Jacob Md, A Medical Corporation | Ophthalmology | 2510 Douglas Blvd Ste 400, Roseville, CA 95661-3302 | 2013-08-29 |
| 1396088605 | Kareem Moussa | Ophthalmology | 1101 Riverside Ave, Roseville, CA 95678-5197 | 2013-04-04 |
| 1104023902 | Al Brooks | Ophthalmology | 1796 Poppy Field Dr, Roseville, CA 95661 | 2007-06-27 |
| 1609893338 | Brian William Rothlisberger | Ophthalmology | 1524 Eureka Rd, Ste 100, Roseville, CA 95661-2850 | 2006-07-17 |
| 1073884045 | Vitreo-retinal Medical Group, Inc | Ophthalmology | 5 Medical Plaza Dr, Suite 180, Roseville, CA 95661-2865 | 2012-01-23 |
| 1962783928 | Capital Eye Medical Group | Ophthalmology | 9221 Sierra College Blvd, Suite 130, Roseville, CA 95661-5919 | 2011-09-06 |
| 1770744351 | Michele S Todman | Ophthalmology | 1001 Riverside Ave, Roseville, CA 95678-5134 | 2008-06-17 |
| 1710109939 | Tom Obertynski | Ophthalmology | 25350 Kelly Rd, Roseville, MI 48066 | 2007-05-03 |
| 1700933405 | Shoshana E. Englard Md Pa | Ophthalmology | 1835 County Road C W, Roseville, MN 55113-1352 | 2007-01-04 |
| 1558418244 | Shoshana Esther Englard-falconer | Ophthalmology | 1835 County Road C W, Roseville, MN 55113-1352 | 2007-01-04 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.