M.D. OPTICAL, LTD (NPI# 1538179080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538179080 |
| Entity Type | Organization |
| Organization Name | M.D. OPTICAL, LTD |
| Practice Address |
375 Barclay Cir Rochester Hills MI 48307-4511 |
| Practice Telephone | 2488523636 |
| Practice Fax Number | 2488523631 |
| Mailing Telephone | 2488523636 |
| Mailing Fax Number | 2488523631 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | DR. FRANK NELSON DERR (PRESIDENT) |
| Authorized Official Telephone | 2488523636 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | ========= | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 540F328670 | 01 |
| Street Address |
375 BARCLAY CIR |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48307-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012473 | Frank Nelson Derr | Ophthalmology | 375 Barclay Cir, Rochester Hills, MI 48307-4511 | 2005-06-13 |
| 1134612450 | Jillian L Boyd | Optometrist | 375 Barclay Cir, Rochester Hills, MI 48307 | 2018-06-11 |
| 1194174847 | Laura Grant | Student in an Organized Health Care Education/Training Program | 375 Barclay Cir, Rochester Hills, MI 48307-4511 | 2016-06-03 |
| 1932515913 | Kevin Jameson | Optometrist | 375 Barclay Cir, Rochester Hills, MI 48307-4511 | 2014-07-10 |
| 1326238395 | Millman-derr Center for Eye Care, P.C. | Ophthalmology | 375 Barclay Cir, Rochester Hills, MI 48307-4511 | 2007-07-26 |
| 1053424911 | Howard C Joondeph | Ophthalmology | 375 Barclay Cir, Rochester Hills, MI 48307-4511 | 2006-08-16 |
| 1255342366 | Millman-derr Center for Eye Care, P.C. | Clinic/Center | 375 Barclay Cir, Rochester Hills, MI 48307-4511 | 2006-08-11 |
| 1043228281 | Michael J Duerr | Optometrist | 375 Barclay Cir, Rochester Hills, MI 48307-4511 | 2006-08-03 |
| 1396793832 | Andrew S Ogawa | Ophthalmology | 375 Barclay Cir, Rochester Hills, MI 48307-4511 | 2006-05-05 |
| 1134124555 | Shelia Arlene Fuller | Optometrist | 375 Barclay Cir, Rochester Hills, MI 48307-4511 | 2005-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326684853 | Christoper Dawson | Durable Medical Equipment & Medical Supplies | 1254 Kings Cove Dr, Rochester Hills, MI 48306-4235 | 2019-11-19 |
| 1801452909 | Pressio Medical LLC | Durable Medical Equipment & Medical Supplies | 3783 Teakwood Ln, Rochester Hills, MI 48309-1055 | 2019-05-14 |
| 1427464346 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 1630 Star Batt Dr, Rochester Hills, MI 48309-3705 | 2014-07-11 |
| 1710229620 | Beamm LLC | Durable Medical Equipment & Medical Supplies | 145 S Livernois Rd, #242, Rochester Hills, MI 48307-1837 | 2013-03-19 |
| 1619294105 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3610 Marketplace Cir, Rochester Hills, MI 48309-5515 | 2010-04-23 |
| 1083893846 | United Dme & Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 6841 N Rochester Rd, Ste 300g, Rochester Hills, MI 48306-4375 | 2007-10-29 |
| 1376764316 | Superior Durable Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 83 E Avon Rd, Rochester Hills, MI 48307-3101 | 2007-05-01 |
| 1528108743 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3175 Rochester Rd, Rochester Hills, MI 48306 | 2007-02-07 |
| 1760544191 | Asap Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1557 W Hamlin Rd, Rochester Hills, MI 48309-3353 | 2006-12-14 |
| 1154483386 | Medox Inc. | Durable Medical Equipment & Medical Supplies | 1555 W. Hamlin Rd., Rochester Hills, MI 48309-3353 | 2006-12-14 |
| Find all providers in ROCHESTER HILLS | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48307 |
Please comment or provide details below to improve the information on M.D. OPTICAL, LTD.
| 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.