Dr Ken Rose, OD is a
Optometrist based in Glendale, Michigan. Dr Ken Rose is licensed to practice in Wisconsin (license number 2879-035) and his current practice location is
5800 N. Bayshore Dr, Glendale, Michigan. He can be reached at his office (for appointments etc.) via phone at
(414) 962-2021.
NPI number for Dr Ken Rose is 1700927886 and his current mailing address is 5800 N. Bayshore Dr, Glendale, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700927886.
Healthcare Provider's Profile
Full Name | Dr Ken Rose |
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Gender | Male |
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Speciality | Optometrist |
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Location | 5800 N. Bayshore Dr, Glendale, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700927886
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Ken Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700927886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 2879-035 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ken Rose is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Ken Rose, OD 5800 N. Bayshore Dr, Glendale, MI 53217 Ph: (414) 962-2021 | Dr Ken Rose, OD 5800 N. Bayshore Dr, Glendale, MI 53217 Ph: (414) 962-2021 |
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