DR. DEIRDRE C HOLLOWAY (NPI# 1417994286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417994286 |
| Entity Type | Individual |
| Full Name | DR. DEIRDRE C HOLLOWAY |
| Credential | M.D. |
| Practice Address |
20905 Greenfield Rd Southfield MI 48075-5347 |
| Mailing Address |
20905 Greenfield Road 301 Southfield MI 48075-5347 |
| Practice Telephone | 2485695577 |
| Practice Fax Number | 2485696211 |
| Mailing Telephone | 2485695577 |
| Mailing Fax Number | 2485696211 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
030365 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104288635 | 05 |
| Street Address |
20905 GREENFIELD RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-5347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669439915 | All American Rehab Care | Clinic/Center | 20905 Greenfield Rd, Suite 300, Southfield, MI 48075-5360 | 2006-04-28 |
| 1295281582 | Mohamed Makki | Physical Therapy Assistant | 20905 Greenfield Rd, Suite 300 M, Southfield, MI 48075-5360 | 2016-08-28 |
| 1699131698 | Roxann Baker Dds PC | Dentist | 20905 Greenfield Rd, 208, Southfield, MI 48075-5360 | 2016-01-06 |
| 1629494422 | Tara L Walker | Nurse Practitioner | 20905 Greenfield Rd, Suite 406, Southfield, MI 48075-5360 | 2014-03-17 |
| 1265874945 | Greenfield and 9 Mile Medical Center Pllc | Family Medicine | 20905 Greenfield Rd, Ste 607m, Southfield, MI 48075-5360 | 2013-07-23 |
| 1053663575 | Rsmd Pllc | Internal Medicine | 20905 Greenfield Rd, Suite 406, Southfield, MI 48075-5360 | 2012-10-08 |
| 1538417654 | R S Medical Services Plc | Internal Medicine | 20905 Greenfield Rd, Suite 406, Southfield, MI 48075-5360 | 2012-08-21 |
| 1861754152 | Everett B. Simmons,jr.,m.d.,p.c. | Dermatology | 20905 Greenfield Rd, 607, Southfield, MI 48075-5360 | 2012-06-12 |
| 1912282096 | Melissa Ann Mack | Nurse Practitioner | 20905 Greenfield Rd, Suite 502, Southfield, MI 48075-5360 | 2011-10-20 |
| 1508182288 | Comprehensive Oral Healthcare PC | Dentist | 20905 Greenfield Rd, Suite 601, Southfield, MI 48075-5360 | 2010-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013147586 | Chirag Gupta | Optometrist | 29201 Telegraph Rd, Suite # 101, Southfield, MI 48034-1331 | 2009-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753599 | Full Scope Eyecare | Optometrist | 1221 S Ortonville Rd Bldg A, Ortonville, MI 48462-8676 | 2020-09-04 |
| 1962042044 | 2020 Family Vision Novi | Optometrist | 42081 W 14 Mile Rd, Novi, MI 48377-1574 | 2020-01-07 |
| 1578083309 | Infinity Vision LLC | Optometrist | 11521 Joseph Campau St, Hamtramck, MI 48212-3050 | 2017-06-22 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1447422126 | Clyson P.C. | Optometrist | 289 Highland Dr, Jackson, MI 49201-9165 | 2008-04-02 |
| 1699946822 | Stephen Samson Stone | Optometrist | 23660 Industrial Park Dr, Suite 111, Farmington Hills, MI 48335-2838 | 2008-03-15 |
| 1417137084 | Family & Pediatric Eye Care Plc | Optometrist | 144 Monroe Center, Grand Rapids, MI 49503-2802 | 2007-11-12 |
| 1639391113 | Timothy H. Atkinson, O. D., Inc. | Optometrist | 301 N. Ball Street, Owosso, MI 48867 | 2007-05-03 |
| 1245453802 | Robert Lesley Paulen V | Optometrist | 111 Griswold St, Northville, MI 48167-1664 | 2007-04-11 |
| 1881746295 | Gerald Rozanoff | Optometrist | 6800 South Westnedge Ave., Ste. E America's Best Contacts and Glasses, Portage, MI 49002 | 2007-01-17 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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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.