Dewberry Medical Co

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DEWBERRY MEDICAL CO

Practice address

25525 Elba
Redford, MI 48239-3205

Phone

(734) 644-1804

Fax

(734) 661-6339

NPI assigned

Sep 10, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Toriano Armand Dewberry

Title

Owner

Phone

(734) 644-1804

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1629328380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25525 ELBA",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393205",
            "telephone_number": "734-644-1804",
            "fax_number": "734-661-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25525 ELBA",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393205",
            "telephone_number": "734-644-1804",
            "fax_number": "734-661-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWBERRY MEDICAL CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "DEWBERRY",
        "authorized_official_first_name": "TORIANO",
        "authorized_official_middle_name": "ARMAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-644-1804",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Court'Nee Ann Desmond, MSN-FNP-C
• Shea Desso, LPC
• Kristen Marie Dessouki, NP
• Detroit Home Health Care, Inc.
• Rebecca Dewaele
• Myra Diggs
• Samantha Diggs, L.P.N
• Daniel Evan Diskin, LLBSW
• Joy Dixon, REGISTERED NURSE
• DLH Grand Enterprise LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.