National Provider Identifier Database

ROSEDALE EYECARE
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.


Contact Information

ROSEDALE EYECARE
19460 GRAND RIVER
DETROIT, MI48223
Phone: 313-533-4003
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for ROSEDALE EYECARE

NPI Number 1902968837
Legal business name
LBN
ROSEDALE EYECARE
Authorized official DERRICK MARTIN - (VP)
Entity Organization
Organization subpart No
Enumeration date 12/15/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 4901002131
  • MI Medicaid: 4J10880

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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