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Contact Information

ROSEDALE EYECARE
19460 GRAND RIVER
DETROIT, MI48223
 Phone: 313-533-4003
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for ROSEDALE EYECARE · (Female)

NPI # 1902968837
Status Active
Credentials
Entity Individual
Enumeration date 12/15/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4901002131
  • MI Medicaid 4J10880
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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