Rosedale Vision

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

Legal business name

ROSEDALE VISION

Practice address

19950 Grand River
Detroit, MI 48223-4822

Phone

(313) 533-4003

NPI assigned

Oct 3, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roby Davis

Title

Ceo

Phone

(313) 681-9861

Specialties & licenses 1

Addresses

Tax ID family

Rosedale Vision2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rosedale Vision

  • Eyewear Supplier
  • Detroit, MI
  • NPI 1538671615
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1114437233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19950 GRAND RIVER",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482234822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19950 GRAND RIVER",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482234822",
            "telephone_number": "313-533-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEDALE VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROBY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-681-9861"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Rose, WHNP
• Roseberry Adult Foster Care
• Roderick Roseberry, SST
• Rosedale Community Pharmacy Inc
• Rosedale Eyecare
• Rosedale Vision
• Ronald David Roseman, PHYSICAL THERAPIST
• Rosemary Brown PLLC
• Rosemond Chiropractic Health Center, Inc
• Luther Paul Rosemond, D.C.

• Low Vision Rehabilitation Optometrist in Detroit, MI
• Providers in Detroit, MI by specialty
• Low Vision Rehabilitation Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.