DR. LORNE M GOTTESMAN (NPI# 1811975402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811975402 |
| Entity Type | Individual |
| Full Name | DR. LORNE M GOTTESMAN |
| Credential | O.D. |
| Practice Address |
220 S Main St Rochester MI 48307-2029 |
| Practice Telephone | 2488582223 |
| Mailing Telephone | 2486517986 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2016-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004008 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 0F37720 | 01 | |
| MI | 1811975402 | 05 | |
| MI | 4148376 | 05 | |
| MI | 4148394 | 05 | |
| MI | BLUE CROSS | LG004008 | 01 |
| Street Address |
220 S MAIN ST |
| City | ROCHESTER |
| State | MI |
| Zip Code | 48307-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932250156 | Jartll Corp | Optometrist | 220 S Main St, Rochester, MI 48307-2029 | 2007-01-15 |
| 1518945104 | Randall M Weishaus | Optometrist | 220 S Main St, Rochester, MI 48307-2029 | 2006-01-04 |
| 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 | 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 |
|---|---|---|---|---|
| 1316588700 | Total Vision Eyecare, Pllc | Optometrist | 1630 Center St W, Rochester, MN 55902-0346 | 2019-10-07 |
| 1619529278 | Amanda Domagola | Optometrist | 451 Hollybrook Rd, Rochester, NY 14623-4115 | 2019-07-14 |
| 1962062000 | Megan Elizabeth Hart | Optometrist | 3173 Chili Ave Ste 400, Rochester, NY 14624-5400 | 2019-06-20 |
| 1902310006 | Maria Annum | Optometrist | 3462 55th St Nw Ste 600, Rochester, MN 55901-0203 | 2017-11-28 |
| 1467964627 | Eric Lee Houghtaling | Optometrist | 2180 Monroe Ave Ste 1, Rochester, NY 14618-2410 | 2017-10-27 |
| 1942731682 | Bhend Family Eye Care, Pllc | Optometrist | 2650 S Broadway, Suite 400, Rochester, MN 55904-6262 | 2017-03-24 |
| 1770932147 | Ashley Mills | Optometrist | 10 Woodcrest Dr, Rochester, NY 14625 | 2016-06-07 |
| 1376957779 | David William Kenney | Optometrist | 3042 W Ridge Rd, Rochester, NY 14626-1676 | 2014-06-13 |
| 1801221346 | Anthony J Dell'anno | Optometrist | 2590 W Ridge Rd, Rochester, NY 14626-3041 | 2013-09-03 |
| 1972944668 | Marycarol Graby | Optometrist | 2301 Lac Deville Blvd, Rochester, NY 14618-5646 | 2013-07-10 |
| Find all providers in ROCHESTER | ||||
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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.