| Dr Lauren Elizabeth Roderick, OD | |
|
4717 Saint Antoine St, Detroit, MI 48201-1423 | |
| (313) 577-8900 | |
| (313) 577-0700 |
| Full Name | Dr Lauren Elizabeth Roderick |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 12 Years |
| Location | 4717 Saint Antoine St, Detroit, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841545381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1751 (South Carolina) | Secondary |
| 152W00000X | Optometrist | 4901005032 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oakland Eye Care, P.c. | 5496859712 | 4 |
| Provider Name | University Physician Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
| Provider Name | Oakland Eye Care, P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245332980 PECOS PAC ID: 5496859712 Enrollment ID: O20070327000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lauren Elizabeth Roderick, OD 1560 E Maple Rd, Troy, MI 48083-1138 Ph: (313) 577-8900 | Dr Lauren Elizabeth Roderick, OD 4717 Saint Antoine St, Detroit, MI 48201-1423 Ph: (313) 577-8900 |
Kayleigh Rohr, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4646 John R St, Detroit, MI 48201 Phone: 313-576-1000 | |
Dr. Robert Fredrick Lee Iii, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 15157 Gratiot Ave, Detroit, MI 48205 Phone: 313-526-7664 Fax: 313-526-2055 | |
Dr. Sura Hassan, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4717 St. Antoine, Kresge Eye Institute, Detroit, MI 48201 Phone: 313-577-8900 Fax: 313-577-0700 | |
Dr. Richard Edwin Gay, OD Optometrist Medicare: Medicare Enrolled Practice Location: 19173 Mack Ave, Detroit, MI 48230 Phone: 313-882-7883 Fax: 313-882-5128 | |
Heritage Optical Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2678 E Jefferson Ave, Detroit, MI 48207 Phone: 313-259-6006 | |
Dr. Linda Le, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1301 Orleans St Apt 1705, Detroit, MI 48207 Phone: 248-759-9202 | |
Wayne State University Physician Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4717 Saint Antoine St, Detroit, MI 48201 Phone: 313-577-8900 Fax: 313-577-0700 |