Rockford Family Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004807 Issued in MI

Legal business name

ROCKFORD FAMILY EYECARE, LLC

Doing business as

Rockford Family Eyecare

Practice address

2745 10 Mile Rd NE
Rockford, MI 49341-9146

Phone

(202) 308-4796

NPI assigned

Jul 17, 2014

Last updated

Nov 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Theodore F SeesNPI 1235320680

Title

Manager/Member

Phone

(202) 308-4796

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rockford Family Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theodore Francis Sees, O.D.

  • Optometrist
  • Rockford, MI
  • NPI 1235320680
  Medicare reassignment Care Compare group Authorized official
• Carrie Christine Sees, O.D.

  • Optometrist
  • Rockford, MI
  • NPI 1184816365
  Medicare reassignment Care Compare group NPD
• Emily Elizabeth Vlietstra, OD

  • Optometrist
  • Rockford, MI
  • NPI 1841816220
  Medicare reassignment Care Compare group
• Kelly Marie Daugherty Zielaskowski, O.D.

  • Optometrist
  • Rockford, MI
  • NPI 1699974154
  Medicare reassignment Care Compare group
• Diana Lowry Koslowske, O.D.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1053306274
  NPD (past)

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1477960813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 N DEARING RD",
            "city": "PARMA",
            "state": "MI",
            "postal_code": "492699726",
            "telephone_number": "202-308-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 10 MILE RD NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493419146",
            "telephone_number": "202-308-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD FAMILY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "SEES",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "202-308-4796",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4901004807",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockford Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Barbara Robinet
• Jason Robinet, P.T.
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• Rockford Dental, PLLC
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• Rockford Psychological Services
• Rockford Speech Therapy, LLC
• Rockford Vision Services, Inc.
• Rockford Vision Therapy LLC (Rockford Vision Therapy)

• Optometrist in Rockford, MI
• Providers in Rockford, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.