David Adelsberg, O.D.
Individual provider Active NPI Optometrist · Troy, MI
NPI 1346311990 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346311990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901002728 (MI)
- Practice address
- 334 John R Rd
Troy, MI 48083-4542 - Phone
- (248) 585-5830
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901002728 | MI | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901002728 | MI | Yes |
Addresses
Primary practice location
334 John R Rd
Troy, MI 48083-4542
Mailing address
30039 White Hall Dr
Farmington Hills, MI 48331-1995
Phone (248) 788-2360
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.