ROSEDALE VISION (NPI# 1538671615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538671615 |
| Entity Type | Organization |
| Organization Name | ROSEDALE VISION |
| Practice Address |
19950 Grand River Detroit MI 48223 |
| Practice Telephone | 3135334003 |
| Mailing Telephone | 3135334003 |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-11-15 |
| Authorized Official Name | MR. ROBY DAVIS (CEO) |
| Authorized Official Telephone | 3135334003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114437233 | Rosedale Vision | Optometrist | 19950 Grand River, Detroit, MI 48223-4822 | 2017-10-03 |
| Street Address |
19950 GRAND RIVER |
| City | DETROIT |
| State | MI |
| Zip Code | 48223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114437233 | Rosedale Vision | Optometrist | 19950 Grand River, Detroit, MI 48223-4822 | 2017-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366946659 | From Heavens Joy Assisted Care Support Services LLC | Social Worker | 14179 Evergreen Rd, Detroit, MI 48223 | 2018-03-21 |
| 1164921144 | Kyara Mccraney | Licensed Practical Nurse | 12725 Riverview St, Detroit, MI 48223 | 2018-02-06 |
| 1922516384 | Cynthia Clair Reese | Nursing Home Administrator | 22625 Glendale, Det, MI 48223 | 2018-01-18 |
| 1629590609 | Marie Davis | Nursing Care | 14049 Minock St, Detroit, MI 48223 | 2017-07-12 |
| 1740726488 | Tanisha Smith | Behavior Technician | 14620 Faust Ave, Detroit, MI 48223 | 2017-01-18 |
| 1518418730 | Tamica K Boyd | Emergency Medical Technician, Basic | 15890 Lamphere, Detroit, MI 48223 | 2016-10-24 |
| 1831596832 | Walter Ector | Counselor | 14243 Minock, Detroit, MI 48223 | 2014-11-20 |
| 1336568542 | Sheryl A Ali | Registered Nurse | 12811 Hazelton Street, Detroit, MI 48223 | 2014-04-15 |
| 1255667556 | Abyssinia Love Knot Physical Therapy LLC | Physical Medicine & Rehabilitation | 15340 Southfield Freeway, Suite 1-a, Detroit, MI 48223 | 2009-10-22 |
| 1629243902 | Glenda Faye Smith | Massage Therapist | 15041 Faust, Detroit, MI 48223 | 2008-04-28 |
| Find all providers in zip 48223 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501471 | El Valle Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 1940 Campbell, Detroit, MI 48209 | 2019-04-24 |
| 1891201406 | Sharper Vision PC | Eyewear Supplier (Equipment, not the service) | 71 Garfield St Apt 180, Detroit, MI 48201-1911 | 2017-12-19 |
| 1992251250 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 21427 Grand River Ave, Ste A-200, Detroit, MI 48219-3896 | 2016-08-28 |
| 1932551645 | Dewberry Medical Co | Eyewear Supplier (Equipment, not the service) | 18445 Cathedral St, Detroit, MI 48228-1809 | 2016-07-06 |
| 1922428887 | P-cor, LLC | Eyewear Supplier (Equipment, not the service) | 400 Renaissance Ctr Ste 1402, Detroit, MI 48243-1502 | 2014-04-18 |
| 1215367107 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 2023 W. Eight Mile Rd, Detroit, MI 48203-1050 | 2013-11-14 |
| 1578080768 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1449 Woodward Ave, Detroit, MI 48226-2001 | 2017-08-28 |
| 1558680330 | University Physician Group | Eyewear Supplier (Equipment, not the service) | 6071 W Outer Dr, Suite M-106, Detroit, MI 48235-2624 | 2010-05-19 |
| 1598906695 | Pcor LLC | Eyewear Supplier (Equipment, not the service) | 7800 W Outer Dr, Detroit, MI 48235-3461 | 2009-03-19 |
| 1578739991 | Pcor LLC | Eyewear Supplier (Equipment, not the service) | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2008-05-06 |
| Find all providers in DETROIT | ||||
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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.