NICOLE POLIDORI KOSKI (NPI# 1417987603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417987603 |
| Entity Type | Individual |
| Full Name | NICOLE POLIDORI KOSKI |
| Credential | OD |
| Practice Address |
13400 E 15 Mile Rd Sterling Hts MI 48312 |
| Practice Telephone | 5869391122 |
| Practice Fax Number | 5869399328 |
| Mailing Telephone | 5869391122 |
| Mailing Fax Number | 5869399328 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901003891 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | ADMINASTAR FEDERAL | 0166710001 | 01 |
| MI | MEDICARE RAILROAD | 410046052 | 01 |
| Street Address |
13400 E 15 MILE RD |
| City | STERLING HTS |
| State | MI |
| Zip Code | 48312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043701287 | Erin Krugel | Physical Therapist | 33464 Schoenherr Rd Ste 100, Sterling Heights, MI 48312 | 2018-05-23 |
| 1124556691 | Roman Novatchinski | Licensed Practical Nurse | 13654 Brougham, Sterling Heights, MI 48312 | 2017-05-30 |
| 1679010763 | Lake City Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 33389 Van Dyke Ave, Sterling Heights, MI 48312 | 2017-01-26 |
| 1598113912 | Joseph Donald Evens | Occupational Therapist | 11635 Filer Drive, Sterling Heights, MI 48312 | 2016-05-26 |
| 1942656855 | Damini Desai | Technician, Other | 38157 Corbett Dr, Sterling Heights, MI 48312 | 2016-05-10 |
| 1891151593 | Your Healing Hands Massage Therapy, LLC | Massage Therapist | 6029 E 14 Mile Rd Ste 200, Sterling Heights, MI 48312 | 2016-01-11 |
| 1033539069 | Macomb County Community Mental Health | Community/Behavioral Health | 6555 15 Mile Road, Sterling Heights, MI 48312 | 2014-04-17 |
| 1467705871 | Julie Anne Hepke | Social Worker | 13213 E. 14 Mile Road, Sterling Heights, MI 48312 | 2012-10-23 |
| 1619226354 | Kimberly Marie Dorband | Physical Therapy Assistant | 6041 15 Mile Road, Sterling Heights, MI 48312 | 2012-09-07 |
| 1477810026 | Frances Sherryl Salvadora Ramos | Physical Therapist | 8170 Crestview Dr Apt 6, Sterling Heights, MI 48312 | 2012-04-20 |
| Find all providers in zip 48312 | ||||
| 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 |
|---|---|---|---|---|
| 1154921815 | Daniel & Max, LLC | Optometrist | 5020 Bay Rd, Saginaw, MI 48604-2522 | 2020-10-30 |
| 1689274516 | Soave Eye Care | Optometrist | 522 S Garfield Ave Ste A, Traverse City, MI 49686-3485 | 2020-10-29 |
| 1821697152 | Chelsea Vernaci | Optometrist | 42550 Garfield Rd Ste 101, Clinton Twp, MI 48038-1644 | 2020-10-19 |
| 1225636095 | Crystal Angela Ruemenapp | Optometrist | 1691 E Us 23 Ste 2, East Tawas, MI 48730-9337 | 2020-10-14 |
| 1053926089 | Estefany Colon Lopez | Optometrist | 3497 S Linden Rd Spc 780, Flint, MI 48507-3018 | 2020-09-15 |
| 1770195794 | Caitlin Elise-nosanov Winsor | Optometrist | 1761 W M 43 Hwy Ste 1, Hastings, MI 49058-8567 | 2020-08-20 |
| 1194336446 | Bennett Optometry LLC | Optometrist | 555 E Michigan Ave, Saline, MI 48176-1588 | 2020-08-11 |
| 1538777255 | James Bong-suk Kim | Optometrist | 19747 W 12 Mile Rd Ste L7a, Southfield, MI 48076-2584 | 2020-07-20 |
| 1295352987 | Ashleigh Yates | Optometrist | 3152 Peregrine Dr Ne Ste 205, Grand Rapids, MI 49525-9723 | 2020-06-29 |
| 1467078915 | Jaclyn Tolles | Optometrist | 63 1st St, Milan, MI 48160-1001 | 2020-06-21 |
| Find all providers with the same taxonomy | ||||
| City | STERLING HTS |
| Zip Code | 48312 |
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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.