SAMANTHA ROSEN (NPI# 1740668607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740668607 |
| Entity Type | Individual |
| Full Name | SAMANTHA ROSEN |
| Other Name | SAMANTHA FORDYCE |
| Credential | OD |
| Practice Address |
35 Michigan St Ne Suite 5101 Grand Rapids MI 49503-2514 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6165267260 |
| Practice Fax Number | 6162672606 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2017-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004951 | MI | Eye and Vision Services Providers |
| Street Address |
35 MICHIGAN ST NE SUITE 5101 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494120 | Spectrum Health Hospitals | Clinic/Center | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2005-08-15 |
| 1124650130 | Spectrum Health Hospitals | Clinic/Center | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2020-02-07 |
| 1326607029 | Julie Lynn Cusic | Social Worker | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2019-06-07 |
| 1144732850 | Michelle Kristine Buist | Nurse Practitioner | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2017-11-03 |
| 1780195354 | Monica Mulder | Nurse Practitioner | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2029 | 2017-10-23 |
| 1790218980 | Katie Patterson | Technician/Technologist | 35 Michigan St Ne, Suite 5101, Grand Rapids, MI 49503-2514 | 2017-04-05 |
| 1316493604 | Sarah Kempton | Nurse Practitioner | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2016-08-28 |
| 1245683002 | Shawn Kay Hillman | Nurse Practitioner | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2016-07-18 |
| 1710351614 | Jutta Strueber | Student in an Organized Health Care Education/Training Program | 35 Michigan St Ne, Suite 4150, Grand Rapids, MI 49503-2514 | 2015-11-16 |
| 1295126225 | Benjamin Kuiper | Physician Assistant | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 | 2015-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| 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 |
|---|---|---|---|---|
| 1295352987 | Ashleigh Yates | Optometrist | 3152 Peregrine Dr Ne Ste 205, Grand Rapids, MI 49525-9723 | 2020-06-29 |
| 1659997252 | Peter Silman | Optometrist | 3152 Peregrine Dr Ne # C205, Grand Rapids, MI 49525-9723 | 2020-06-19 |
| 1821613225 | Adam Hoffhines | Optometrist | 3159 28th St Se, Grand Rapids, MI 49512-7810 | 2020-06-11 |
| 1184283285 | Carrie Mitera | Optometrist | 1712 Timberlane Ln Ne, Grand Rapids, MI 49505-4442 | 2019-06-12 |
| 1366934879 | Maxwell Edward Rennaker | Optometrist | 2700 5 Mile Rd Ne Ste 102, Grand Rapids, MI 49525-6516 | 2018-05-31 |
| 1750830261 | Rx Optical Laboratories, Inc | Optometrist | 2000 E Beltline Ave Ne, Grand Rapids, MI 49525-9716 | 2016-09-26 |
| 1851759716 | Premier Family Eye Care PC. | Optometrist | 6748 Kalamzoo Ave S.e, Grand Rapids, MI 49508-7032 | 2016-02-08 |
| 1093198483 | I Care Optics LLC | Optometrist | 2425 Lake Michigan Dr Nw, Grand Rapids, MI 49504-4652 | 2015-07-02 |
| 1891103818 | Adeline Bauer | Optometrist | 1000 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3680 | 2014-07-23 |
| 1790106136 | Rx Optical Laboratories, Inc. | Optometrist | 1844 Breton Rd Se, Grand Rapids, MI 49506-4869 | 2014-01-03 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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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.