Active NPI
David Laurence Rockwell, MD
- Ophthalmology Physician
- Cadillac, MI
National Provider Identifier
1316923816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- DR050067
- Practice address
- 502 Cobb St
Cadillac Eye Clinic PC
Cadillac, MI 49601-2577 - Phone
- (231) 775-1248
- Fax
- (231) 775-1156
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | DR050067 | MI | Primary |
Addresses
Primary practice location
502 Cobb St
Cadillac Eye Clinic PC
Cadillac, MI 49601-2577
Mailing address
502 Cobb St
Cadillac, MI 49601-2577
Phone (231) 775-1248
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1808300181 | Other | MI | BCBS OF MI |
| 1100590001 | Other | MI | MEDICARE DMERC |
| 180029797 | Other | MI | MEDICARE RAILROAD |
| 103245 | Other | MI | PREFERRED CHOICES |
| 2622458 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR050067 | MI | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271721600000",
"number": "1316923816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 COBB ST",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496012577",
"telephone_number": "231-775-1248",
"fax_number": "231-775-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 COBB ST",
"address_2": "CADILLAC EYE CLINIC PC",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496012577",
"telephone_number": "231-775-1248",
"fax_number": "231-775-1156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKWELL",
"first_name": "DAVID",
"middle_name": "LAURENCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2010-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "DR050067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI",
"identifier": "1808300181",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMERC",
"identifier": "1100590001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "180029797",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CHOICES",
"identifier": "103245",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2622458",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cadillac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.