PROMEDICA CENTRAL PHYSICIANS LLC (NPI# 1417355223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417355223 |
Entity Type | Organization |
Organization Name | PROMEDICA CENTRAL PHYSICIANS LLC |
Other Organization Name | PROMEDICA PHYSICIANS EYE CARE |
Practice Address |
1180 N Monroe St Monroe MI 48162-3190 |
Practice Telephone | 7342435300 |
Practice Fax Number | 7342433236 |
Mailing Telephone | 7342435300 |
Mailing Fax Number | 7342433236 |
Enumeration Date | 2014-12-10 |
Last Update Date | 2014-12-10 |
Authorized Official Name | AMY L DYWER (CREDENTIALING SUPERVISOR) |
Authorized Official Telephone | 4198247334 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | MI | Allopathic & Osteopathic Physicians | |
Y | 152W00000X | Optometrist | MI | Eye and Vision Services Providers |
Other Name | Type Code |
---|---|
ProMedica Physicians Eye Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285168450 | Promedica Central Physicians LLC | Clinic/Center | 217 Golden Gate Plz, Maumee, OH 43537-2881 | 2017-04-14 |
1689072407 | Promedica Central Physicians LLC | Ophthalmology | 435 S Hawley St, Toledo, OH 43609-2344 | 2014-12-10 |
1043673700 | Promedica Central Physicians LLC | Clinic/Center | 6755 W Central Ave, Toledo, OH 43617-1109 | 2016-03-31 |
1255792024 | Promedica Central Physicians LLC | Clinic/Center | 6711 Airport Hwy, Holland, OH 43528-8104 | 2016-03-08 |
1730544511 | Promedica Central Physicians LLC | Clinic/Center | 5700 Monroe St, Sylvania, OH 43560-2767 | 2015-12-22 |
1316302359 | Promedica Central Physicians LLC | Clinic/Center | 25950 Dixie Hwy, Perrysburg, OH 43551-2983 | 2015-12-17 |
1568842813 | Promedica Central Physicians LLC | Clinic/Center | 3316 Navarre Ave, Suite F, Oregon, OH 43616-3314 | 2015-06-02 |
1962800672 | Promedica Central Physicians LLC | Ophthalmology | 3165 Navarre Ave, Oregon, OH 43616-4348 | 2014-12-11 |
1023416849 | Promedica Central Physicians LLC | Ophthalmology | 60 Ashwood Dr, Tiffin, OH 44883-1908 | 2014-12-10 |
1871912410 | Promedica Central Physicians LLC | Technician/Technologist | 5700 Monroe St, Suite 211, Sylvania, OH 43560-2767 | 2014-04-10 |
Street Address |
1180 N MONROE ST |
City | MONROE |
State | MI |
Zip Code | 48162-3190 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205831245 | Douglas E Gillies | Optometrist | 1180 N Monroe St, Monroe, MI 48162-3190 | 2005-06-16 |
1104223874 | Yasmyne Ronquillo | Ophthalmology | 1180 N Monroe St, Monroe, MI 48162-3190 | 2014-11-25 |
1396007951 | Pamela Dawn Lynch | Optometrist | 1180 N Monroe St, Monroe, MI 48162-3190 | 2012-06-11 |
1972827558 | Mercy Eye Institute, LLC | Optometrist | 1180 N Monroe St, Monroe, MI 48162-3190 | 2010-03-25 |
1861636359 | Reed Vision Associates PC | Ophthalmology | 1180 N Monroe St, Monroe, MI 48162-3190 | 2009-04-28 |
1811914898 | Reed Vision Associates, P.C. | Optometrist | 1180 N Monroe St, Monroe, MI 48162-3190 | 2006-07-16 |
1417994914 | Susan Hilborn Mccutcheon | Optometrist | 1180 N Monroe St, Monroe, MI 48162-3190 | 2006-06-01 |
1548212673 | Ken N Feinauer | Optometrist | 1180 N Monroe St, Monroe, MI 48162-3190 | 2006-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
Find all providers in zip 48162 |
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 |
---|---|---|---|---|
1881178234 | Kasayla Fe Kuzmic | Optometrist | 1253 N Raisinville Rd, Monroe, MI 48162-9666 | 2018-09-21 |
1639606700 | Ashley M O'dwyer | Optometrist | 750 Stewart Rd Ste 2, Monroe, MI 48162-4279 | 2017-05-18 |
1104219039 | Stateline Vision Center LLC | Optometrist | 250 N 18th Ave Ste 105, Monroe, WI 53566-1482 | 2015-03-17 |
1235539255 | Envision Eye Care Inc | Optometrist | 1 Preshburg Blvd, Unit 001, Monroe, NY 10950 | 2014-08-27 |
1700207511 | Sita Patel | Optometrist | 1007 Skyway Dr Ste A, Monroe, NC 28110-3051 | 2013-12-20 |
1740541796 | Whitney Presto White | Optometrist | 907 Regents Park Dr, Monroe, MI 48161-9761 | 2012-06-06 |
1386811404 | Idaho Falls Vision Center Chartered | Optometrist | 20231 209th Ave Se, Monroe, WA 98272-9371 | 2008-05-08 |
1700059656 | Dr. Michael J. Haynes A Professional Corporation | Optometrist | 2808 Forsythe Avenue, Monroe, LA 71201-3008 | 2008-04-10 |
1609065077 | Jason B Berkebile | Optometrist | 1976 Wellness Blvd, Monroe, NC 28110 | 2007-10-22 |
1871788562 | P-cor, LLC | Optometrist | 504 N Telegraph Rd, Monroe, MI 48162 | 2007-09-06 |
Find all providers in MONROE |
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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.