PROFESSIONAL EYECARE GROUP, PLLC (NPI# 1255779211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255779211 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL EYECARE GROUP, PLLC |
| Practice Address |
7555 Telegraph Rd Taylor MI 48180-2239 |
| Mailing Address |
5746 Willow Creek Dr Canton MI 48187-3323 |
| Practice Telephone | 3132927114 |
| Mailing Telephone | 7346744736 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-12-05 |
| Authorized Official Name | DR. VIMAL SURESHCHANDRA PATEL (OPTOMETRIST) |
| Authorized Official Telephone | 7346744736 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004767 | MI | Eye and Vision Services Providers |
| Street Address |
7555 TELEGRAPH RD |
| City | TAYLOR |
| State | MI |
| Zip Code | 48180-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730106956 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7555 Telegraph Rd, Taylor, MI 48180-2239 | 2006-07-16 |
| 1124629068 | Howyda Beydoun | Pharmacist | 7555 Telegraph Rd, Taylor, MI 48180-2239 | 2020-11-06 |
| 1124682893 | Ali Fardous | Pharmacist | 7555 Telegraph Rd, Taylor, MI 48180-2239 | 2019-04-27 |
| 1801315619 | Mohamad Issa Aboukhodr | Pharmacist | 7555 Telegraph Rd, Taylor, MI 48180-2239 | 2017-09-12 |
| 1710330402 | David Knox | Pharmacist | 7555 Telegraph Rd, Taylor, MI 48180-2239 | 2016-07-18 |
| 1962853440 | Hail Abdullah | Pharmacist | 7555 Telegraph Rd, Taylor, MI 48180-2239 | 2016-06-27 |
| 1427496488 | Vimal Sureshchandra Patel | Optometrist | 7555 Telegraph Rd, Taylor, MI 48180-2239 | 2013-06-11 |
| 1558668020 | Krishan Eye Care PC | Optometrist | 7555 Telegraph Rd, Taylor, MI 48180-2239 | 2011-02-18 |
| 1700969821 | Wal-mart Stores East, Lp | Technician/Technologist | 7555 Telegraph Rd, Taylor, MI 48180-2239 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920288 | Kenneth Harlan | Physical Therapist | 22606 Northline Rd., Taylor, MI 48180 | 2019-03-12 |
| 1790270916 | Ryan Thomas Sankovic | Physical Medicine & Rehabilitation | 10000 Telegraph Road, Taylor, MI 48180 | 2018-06-29 |
| 1538658026 | Deborah Moseley | Physical Therapist | 21308 Eureka Rd, Taylor, MI 48180 | 2018-05-09 |
| 1366944837 | Cheryl Lee Ivie | Nurse Practitioner | 26650 Eureka Rd Suite C, Taylor, MI 48180 | 2018-03-01 |
| 1619407376 | Markesha Lynn Smith | Case Manager/Care Coordinator | 26550 Eureka Road, Suite C, Taylor, MI 48180 | 2017-06-15 |
| 1376072645 | Chris James Clark | Massage Therapist | 11178 Katrine, Taylor, MI 48180 | 2017-06-08 |
| 1245767151 | Alexandre John Mazar | Student in an Organized Health Care Education/Training Program | 10000 Telegraph Road - Beaumont Taylor Hospital, Physical Medicine and Rehabilitation Department, Taylor, MI 48180 | 2017-05-23 |
| 1063949030 | Jared David Mccallum | Physical Medicine & Rehabilitation | Beaumont Hospital, Taylor - Attn: Chris L Birkenhauer, 10000 Telegraph Ro, Taylor, MI 48180 | 2017-05-22 |
| 1972039667 | Chante Lowman | Specialist/Technologist | 23774 Crisler St., Taylor, MI 48180 | 2017-05-02 |
| 1477003036 | Latricia Osborne | Licensed Practical Nurse | 94060e. Pickwick Circle, Taylor, MI 48180 | 2016-10-07 |
| Find all providers in zip 48180 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902430937 | Dr Elizabeth M Darby Optometrist Pllc | Optometrist | 504 Easel St, Taylor, MS 38673 | 2020-02-28 |
| 1093253197 | I Care Ventures LLC | Optometrist | 860 W Roy Palmer Rd, Taylor, AZ 85939-1940 | 2017-02-08 |
| 1740449529 | Carlos W. Montanez-lopez | Optometrist | 23360 Eureka Rd, Taylor, MI 48180-5215 | 2008-06-05 |
| 1396911657 | Pcor-llc | Optometrist | 22395 Eureka Rd, Taylor, MI 48180-6016 | 2008-05-06 |
| 1821144916 | William John Kiefiuk | Optometrist | 22320 Goddard Rd, Svs, Taylor, MI 48180 | 2007-01-25 |
| 1356435432 | Ralph Alan Lee | Optometrist | 7740 James Pearce Way B#1706, Taylor, AZ 85939-1706 | 2006-10-03 |
| 1114954328 | Frank Donald Kozin | Optometrist | 8212 Telegraph Rd, Taylor, MI 48180-2229 | 2006-06-26 |
| 1902875602 | Elizabeth Mason Darby | Optometrist | 504 Easel Street, Taylor, MS 38673 | 2006-03-15 |
| 1003881574 | Maria Quintanilla | Optometrist | 3701 N Main St, Ste A, Taylor, TX 76574-4975 | 2006-02-20 |
| 1447240569 | John Richard Compton | Optometrist | 8950 Telegraph Rd, Taylor, MI 48180-8399 | 2005-10-28 |
| Find all providers in TAYLOR | ||||
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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.