Organization Active NPI

Eyeq Vision PLLC

  • Optometrist
  • West Bloomfield, MI
National Provider Identifier
1366356800
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYEQ VISION PLLC
Practice address
5755 W Maple Rd Ste 107
West Bloomfield, MI 48322-4415
Phone
(248) 904-8100
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Dr. Lauren Elizabeth Roderick, OD
Title
Optometrist/Owner
Phone
(248) 904-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

5755 W Maple Rd Ste 107
West Bloomfield, MI 48322-4415

Mailing address

6195 Sunnydale Rd
Clarkston, MI 48346-2334
Phone (248) 904-8100

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1366356800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6195 SUNNYDALE RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462334",
            "telephone_number": "248-904-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 W MAPLE RD STE 107",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224415",
            "telephone_number": "248-904-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEQ VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "RODERICK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "248-904-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.