DR. KEN ROSE (NPI# 1700927886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700927886 |
| Entity Type | Individual |
| Full Name | DR. KEN ROSE |
| Credential | OD |
| Practice Address |
5800 N. Bayshore Dr Glendale MI 53217 |
| Practice Telephone | 4149622021 |
| Practice Fax Number | 4149622441 |
| Mailing Telephone | 4149622021 |
| Mailing Fax Number | 4149622441 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2879-035 | WI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114153715 | Ken Tomas Rose | Counselor | 325 E Pioneer, Puyallup, WA 98372-3265 | 2009-06-09 |
| Street Address |
5800 N. BAYSHORE DR |
| City | GLENDALE |
| State | MI |
| Zip Code | 53217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689770497 | Health Psychology Associates, S.c. | Psychologist | 5800 N. Bayshore Dr, Suite B230, Glendale, WI 53217-4503 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| 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 |
|---|---|---|---|---|
| 1326653528 | Kelsey Harraghy | Optometrist | 7700 W Arrowhead Towne Ctr Ste 1136, Glendale, AZ 85308-0926 | 2020-09-14 |
| 1205394533 | Ani Grigoryan | Optometrist | 1577 E Chevy Chase Dr Ste 120, Glendale, CA 91206-4193 | 2019-03-05 |
| 1578041356 | Lilit Javadian | Optometrist | 413 E Glenoaks Blvd Ste B, Glendale, CA 91207-2013 | 2018-08-02 |
| 1063999027 | Clarissa Orzell | Optometrist | 7700 W Arrowhead Towne Ctr Ste 2130, Glendale, AZ 85308-0929 | 2018-07-23 |
| 1518443472 | Zachary William Miller | Optometrist | 5707 W Northern Ave Ste 106, Glendale, AZ 85301-1355 | 2018-07-13 |
| 1568958734 | Dominic Rentz | Optometrist | 14185 W Falcon St, Glendale, AZ 85309-1601 | 2018-07-10 |
| 1659867901 | Shakeh Bagdassar Eye To Eye Optometry | Optometrist | 1101 N Pacific Ave Ste 105, Glendale, CA 91202-4314 | 2018-07-10 |
| 1215421573 | Shihchun Tai | Optometrist | 8016 Cooper Ave # 3, Glendale, NY 11385-7741 | 2018-06-20 |
| 1568977189 | West Point Optical Group | Optometrist | 7870 W Bell Rd, Glendale, AZ 85308-8621 | 2017-12-05 |
| 1548779952 | Vahe Arutyunyan | Optometrist | 204 E Maple St, Glendale, CA 91205-2110 | 2017-09-28 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on DR. KEN ROSE.
| 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.