DR. MARK ROY (NPI# 1174572143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174572143 |
| Entity Type | Individual |
| Full Name | DR. MARK ROY |
| Credential | O.D. |
| Practice Address |
32090 23 Mile Rd Chesterfield MI 48047-1901 |
| Mailing Address |
1698 Foresthill Dr Rochester Hills MI 48306-3119 |
| Practice Telephone | 5867255600 |
| Practice Fax Number | 5867256670 |
| Mailing Telephone | 2486562592 |
| Mailing Fax Number | 5867256670 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901003127 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2879003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063442747 | Mark Allen Roy | Social Worker | 5251 147th St Ste 9, Oak Forest, IL 60452-1347 | 2006-07-05 |
| 1851360424 | Mark Joseph Roy IIi | Optometrist | 640 Saint Charles St, Thibodaux, LA 70301-3422 | 2006-03-16 |
| 1174514327 | Mark William Roy | Neurological Surgery | 518 S Van Buren Rd, Suite 6, Eden, NC 27288-5033 | 2005-11-04 |
| 1154758456 | Mark Adam Roy | Nurse Anesthetist, Certified Registered | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2013-10-01 |
| Street Address |
32090 23 MILE RD |
| City | CHESTERFIELD |
| State | MI |
| Zip Code | 48047-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811945322 | Frederick C Lichota | Optometrist | 32090 23 Mile Rd, Chesterfield, MI 48047-1901 | 2006-05-05 |
| 1417103730 | Lisa Danielle Bont | Audiologist | 32090 23 Mile Rd, Chesterfield, MI 48047-1901 | 2008-08-18 |
| 1619096633 | K A Krause | Audiologist | 32090 23 Mile Rd, Chesterfield, MI 48047-1901 | 2007-03-29 |
| 1063461150 | Advanced Vision Centers | Optometrist | 32090 23 Mile Rd, Chesterfield, MI 48047-1901 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1184289050 | Emily Virginia Barc | Speech-Language Pathologist | 50522 Elsey St, New Baltimore, MI 48047 | 2019-05-07 |
| 1629562665 | In Your Home Senior Assistance LLC | In Home Supportive Care | 33813 Bayview Drive, Chesterfield, MI 48047 | 2018-06-21 |
| 1669978805 | Tiffany Nicole Bankhead | Nurse's Aide | 35859 Cranbrook Ct., New Baltimore, MI 48047 | 2018-04-05 |
| 1295246031 | Mary-devon Leigh Bement | Social Worker | Grace Counseling, 23 Mile Rd., Chesterfield, MI 48047 | 2017-10-19 |
| 1780107706 | Willow of Wonder Child & Family Therapy Pllc | Community/Behavioral Health | 51500 Birch St Unit C, New Baltimore, MI 48047 | 2017-07-21 |
| 1760903082 | Jason Aaron Johnson | Massage Therapist | 28390 Gamble Road, Chesterfield, MI 48047 | 2017-06-28 |
| 1699226431 | Aaron Curtis Teutsch | Counselor | 35031 23 Mile Rd., New Baltimore, MI 48047 | 2016-10-17 |
| 1285009506 | Adelle Lenhausen | Dental Hygienist | 36500 Front St, New Baltimore, MI 48047 | 2015-12-11 |
| 1528441359 | Elaine Genevieve Grant | Podiatrist | 32743 23 Mile Rd Ste 110, Chesterfield, MI 48047 | 2015-06-29 |
| Find all providers in zip 48047 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598385247 | Sarah Ellison | Optometrist | 50940 Gratiot Ave, Chesterfield, MI 48051-3134 | 2020-04-23 |
| 1225411358 | Sylvester Cobbina | Optometrist | 15206 Clearwater Trl, Apt 305, Chesterfield, VA 23832-2911 | 2015-07-07 |
| 1851720429 | Kurt Jacob Bennett | Optometrist | 14428 White Birch Valley Ln, Chesterfield, MO 63017-2416 | 2013-11-05 |
| 1063758548 | Eye Care Charity of Mid-america | Optometrist | 732 Goddard Ave, Chesterfield, MO 63005-1100 | 2013-01-02 |
| 1164735338 | Inderpreet Kaur Datta | Optometrist | 9440 Iron Bridge Rd, Chesterfield, VA 23832-6601 | 2010-07-16 |
| 1932331295 | Desiree A.j. Ratzenberger | Optometrist | 50753 Waterside Dr, Chesterfield, MI 48051-4008 | 2009-08-19 |
| 1730321548 | Clarkson Optometry Inc | Optometrist | 1028 Town and Country Crossing Dr, Chesterfield, MO 63017-0610 | 2009-03-26 |
| 1871662098 | Valley Vision | Optometrist | 703 Long Road Crossing Dr, #5, Chesterfield, MO 63005 | 2006-11-06 |
| 1871681346 | Steven Marc Goldberg | Optometrist | 14314 Cobble Ct, Chesterfield, MO 63017-2823 | 2006-10-10 |
| 1053427104 | Thomas Joseph Cunningham | Optometrist | 92 Chesterfield Mall, Chesterfield, MO 63017-4808 | 2006-08-22 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 48047 |
Please comment or provide details below to improve the information on DR. MARK ROY.
| 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.