MRS. MARYJO FERENCE (NPI# 1073734224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073734224 |
| Entity Type | Individual |
| Full Name | MRS. MARYJO FERENCE |
| Credential | OD |
| Practice Address |
2550 S Telegraph Rd Ste 100 Bloomfield Hills MI 48302-0951 |
| Practice Telephone | 2482589000 |
| Practice Fax Number | 2484996372 |
| Mailing Telephone | 2482589000 |
| Mailing Fax Number | 2484996372 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2014-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 4901003317 | MI | Eye and Vision Services Providers |
| Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
4901003317 | MI | Eye and Vision Services Providers |
| Street Address |
2550 S TELEGRAPH RD STE 100 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48302-0951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801960737 | Sandy Anna Diponio | Optometrist | 2550 S Telegraph Rd Ste 100, Bloomfield Hills, MI 48302-0951 | 2006-11-20 |
| 1114063856 | Paul Charles Feinberg | Optometrist | 2550 S Telegraph Rd Ste 100, Bloomfield Hills, MI 48302-0951 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| Taxonomy Code | 152WP0200X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Pediatrics |
| Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043651128 | Katie Lynne Sutter | Optometrist | 6101 Newport Rd Ste A, Portage, MI 49002-9237 | 2013-07-17 |
| 1922350214 | Children's Eye Care PC | Optometrist | 42700 Garfield, Ste 200, Clinton Twp, MI 48038 | 2012-10-10 |
| 1205827383 | Paul Kent Voreis | Optometrist | 17901 Huron River Dr, Suite 101, New Boston, MI 48164-3200 | 2005-10-29 |
| 1235481516 | Children's Eye Care, PC | Optometrist | 7001 Orchard Lake Rd, Suite 200, West Bloomfield, MI 48322-3604 | 2012-10-10 |
| 1568714855 | Children's Eye Care, PC | Optometrist | 3901 Beaubien St, Detroit, MI 48201-2119 | 2012-10-10 |
| 1467704759 | Children's Eye Care, PC | Optometrist | 22731 Newman St Ste 245, Dearborn, MI 48124-2023 | 2012-10-10 |
| 1124338736 | Swan Optometry Services, PC | Optometrist | 25 N Main St, Rockford, MI 49341-1281 | 2010-10-15 |
| 1225278880 | Pediatric Ophthalmology PC | Optometrist | 5050 Cascade Rd Se, Grand Rapids, MI 49546-3707 | 2009-02-23 |
| 1588680938 | Dr Heidi Johnson Od PC | Optometrist | 2822 Venture Dr, Marquette, MI 49855-8631 | 2006-07-15 |
| 1972553899 | Robert J Peters | Optometrist | 5050 Cascade Rd Se, Grand Rapids, MI 49546-3725 | 2006-05-11 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48302 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.