PROMEDICA CENTRAL PHYSICIANS LLC


Address: 1180 N Monroe St, Monroe, MI 48162-3190
Phone: 7342435300

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
ProMedica Physicians Eye Care Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1180 N MONROE ST
City MONROE
State MI
Zip Code 48162-3190

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City MONROE
Zip Code 48162

Improve Information

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Dataset Information

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.

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