DR. ELENA M ROSE (NPI# 1619341575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619341575 |
| Entity Type | Individual |
| Full Name | DR. ELENA M ROSE |
| Credential | O.D. |
| Practice Address |
21500 Chase Dr Novi MI 48375-4763 |
| Practice Telephone | 2488806659 |
| Mailing Telephone | 2488806659 |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004945 | MI | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
4901004945 | MI | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
4901004945 | MI | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
4901004945 | MI | Eye and Vision Services Providers |
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
4901004945 | MI | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
4901004945 | MI | Eye and Vision Services Providers |
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
4901004945 | MI | Eye and Vision Services Providers |
| Street Address |
21500 CHASE DR |
| City | NOVI |
| State | MI |
| Zip Code | 48375-4763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1205475209 | Terri Lynn Tiederman | Registered Nurse | Cns Healthcare 24230 Karim Blvd, Ste 100, Novi, MI 48375 | 2019-12-23 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1962044644 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2019-10-14 |
| 1700440203 | Arman C. Moshyedi, Md, Pllc | Psychiatry & Neurology | 4000 Grand River Avenue, Suite 306, Novi, MI 48375 | 2019-04-30 |
| 1225593726 | Daniel Woodward Mead | Nurse Practitioner | 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 | 2019-02-08 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
| 1447735626 | Timothy Holland | Behavior Technician | 41521 W Ll Mile Rd, Novi, MI 48375 | 2018-10-03 |
| 1750874376 | Christian Field | Behavior Technician | 41512 W 11 Mile Rd, Novi, MI 48375 | 2018-06-08 |
| 1114415668 | O2 Pharmacy, LLC | Pharmacy | 39765 Grand River Ave, Novi, MI 48375 | 2018-04-30 |
| Find all providers in zip 48375 | ||||
| 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 |
|---|---|---|---|---|
| 1902459290 | Aw Vision, Pllc | Optometrist | 39885 Grand River Ave Ste 200, Novi, MI 48375-2150 | 2019-07-17 |
| 1295023851 | Krishna Khatri | Optometrist | 22803 Clearwater Ct, Novi, MI 48375-4656 | 2011-07-18 |
| 1225208143 | Reeta Raina | Optometrist | 27838 Novi Rd, Novi, MI 48377-3019 | 2008-03-06 |
| 1952426298 | Robyn Leigh Dragoo | Optometrist | 25500 Meadowbrook Rd Ste 135, Novi, MI 48375-1880 | 2007-03-19 |
| 1306981808 | Leslie Kay James-fenn | Optometrist | 27150 Novi Rd, Novi, MI 48377-3410 | 2007-02-21 |
| 1366585234 | Robert Deek | Optometrist | 26090 Ingersol Dr, Novi, MI 48375-1212 | 2007-02-14 |
| 1467592337 | Edward Lederer | Optometrist | 27486 Novi Rd, Novi, MI 48377-3416 | 2007-02-08 |
| 1578618047 | Timothy R Kirk | Optometrist | 22350 Novi Rd, Novi, MI 48375-4708 | 2007-01-24 |
| 1962579698 | Diane Lynn Galper | Optometrist | 27800 Novi Rd, Novi, MI 48377-3019 | 2006-11-29 |
| 1265504898 | Carolyn Louise Easter | Optometrist | 27380 Novi Rd, Novi, MI 48377-3414 | 2006-11-15 |
| Find all providers in NOVI | ||||
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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.