Rosedale Eyecare Llc is a
Eyewear Supplier based in Detroit, Michigan. Rosedale Eyecare Llc is licensed to practice in Michigan (license number 4901002131) and their current practice location is
19460 Grand River, Detroit, Michigan. It can be reached at their office (for appointments etc.) via phone at
(313) 533-4003.
NPI number for Rosedale Eyecare Llc is 1902968837 and their current mailing address is 19460 Grand River, Detroit, Michigan. Rosedale Eyecare Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1902968837.
Healthcare Provider's Profile
Full Name | Rosedale Eyecare Llc |
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Type | Facility |
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Speciality | Eyewear Supplier |
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Location | 19460 Grand River, Detroit, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902968837
- Provider Enumeration Date: 12/15/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Rosedale Eyecare Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902968837 | NPI | - | NPPES |
4J10880 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | 4901002131 (Michigan) | 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. Rosedale Eyecare Llc 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 |
Rosedale Eyecare Llc 19460 Grand River, Detroit, MI 48223 Ph: (313) 533-4003 | Rosedale Eyecare Llc 19460 Grand River, Detroit, MI 48223 Ph: (313) 533-4003 |
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