PROFESSIONAL FAMILY EYECARE INC.


Address: 28825 Ryan Rd, Warren, MI 48092-4128
Phone: 5865730470

PROFESSIONAL FAMILY EYECARE INC. (NPI# 1295896900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295896900
Entity Type Organization
Organization Name PROFESSIONAL FAMILY EYECARE INC.
Practice Address 28825 Ryan Rd
Warren
MI 48092-4128
Practice Telephone 5865730470
Practice Fax Number 5865730648
Mailing Telephone 5865730470
Mailing Fax Number 5865730648
Enumeration Date 2006-12-13
Last Update Date 2008-05-27
Authorized Official Name DR. CHRISTOPHER DAVID THEODOROFF (OPTOMETRIST)
Authorized Official Telephone 5865730470
Authorized Official Credential O.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 4901003333 MI Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBS MICHIGAN 900E066750 01

Office Location

Street Address 28825 RYAN RD
City WARREN
State MI
Zip Code 48092-4128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982611745 Christopher David Theodoroff Optometrist 28825 Ryan Rd, Warren, MI 48092-4128 2006-08-02
1346303856 Jennifer Ann Wong Optometrist 28825 Ryan Rd, Warren, MI 48092-4128 2006-12-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881163186 Katherine Byrd Behavior Technician 3691 East 11 Mile Rd., Warren, MI 48092 2018-11-15
1861980302 Mark Paul Azzo Home Health Aide 27605 Walker Ave, Warren, MI 48092 2018-04-30
1144747130 Joseph Galutan Estrada Chiropractor 4846 Marlow Dr, Warren, MI 48092 2017-08-29
1649669425 Lawrence Mosurak IIi Chiropractor 6201 Chicago Road, Warren, MI 48092 2015-01-15
1174911713 Kimberly A Ott Nurse Practitioner 28800 Ryan Rd Suite 320, Warren, MI 48092 2015-01-06
1487071999 Michele Szandzik Chiropractor 2243 East 12 Mile Rd, Warren, MI 48092 2014-03-21
1962827311 Mouradian Dental Center, D.d.s., P.C. Dentist 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 2014-02-21
1639495930 Debra Kay Wenneman Physical Therapist 28776 Ryan Rd, Warren, MI 48092 2010-04-12
1922332923 Sonia Amirali Pethani Physical Therapist 2117 E. Eleven Mile Rd., Warren, MI 48092 2009-09-23
1881822237 Michael Patrick Walsh Orthopaedic Surgery 28800 Ryan Rd Ste 310, Warren, MI 48092 2009-06-24
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700485513 Warren General Hospital Optometrist 103 W Saint Clair St Rm 1a, Warren, PA 16365-2187 2020-10-22
1679944177 Tyler Mautino Optometrist 60 Hatch Run Rd, Warren, PA 16365-5249 2015-10-12
1104223726 Optical Solutions 3 LLC Optometrist 2658 Niles Cortland Rd Se, Warren, OH 44484-3871 2014-11-25
1144452459 Diana Marie Douglas Optometrist 1955 Celestial Dr Ne, Warren, OH 44484-3982 2009-08-20
1558561324 Advanced Family Eyecare of Trumbull Co LLC Optometrist 8252 High St Ne, Warren, OH 44484-1923 2007-07-20
1144340589 Thomas M. Grischow, O.d., Inc. Optometrist 199 Niles Cortland Rd Se, Warren, OH 44484-2426 2007-03-30
1407975113 John W Barnhart Optometrist 4620 Mahoning Ave Nw, Warren, OH 44483-1419 2007-03-27
1487794533 Lidia Sistick Optometrist 13812 E 14 Mile Rd, Warren, MI 48088-1488 2007-02-07
1699812115 Paul Mark Peiffer Optometrist 3824 E 13 Mile Rd, Warren, MI 48092-1314 2007-01-31
1891840674 Pearle Vision Inc Optometrist 29350 Van Dyke Ave, Warren, MI 48093-6765 2007-01-24
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Competitor

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City WARREN
Zip Code 48092

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Dataset Information

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.

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