DR. JENNIFER COOPER DUDOVITZ (NPI# 1790720225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790720225 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER COOPER DUDOVITZ |
| Credential | O.D. |
| Practice Address |
28655 Hoover Rd Warren MI 48093-4105 |
| Mailing Address |
10494 Ludlow Ave Huntington Woods MI 48070-1524 |
| Practice Telephone | 5867510400 |
| Mailing Telephone | 2485439486 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901003920 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 0E06683 | 01 |
| Street Address |
28655 HOOVER RD |
| City | WARREN |
| State | MI |
| Zip Code | 48093-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in WARREN | ||||
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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.