# ROSEDALE VISION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114437233
- **Authorized official:** ROBY DAVIS (CEO)
- **Authorized official phone:** (313) 681-9861

## Contact information

- **Practice address:** 19950 GRAND RIVER, DETROIT, MI 48223-4822
- **Practice address phone:** (313) 533-4003
- **Mailing address:** 19950 GRAND RIVER, DETROIT, MI 48223-4822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WL0500X | Low Vision Rehabilitation Optometrist | — | NULL | Yes |
| 152WL0500X | Low Vision Rehabilitation Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2017
- **Last updated:** 10/03/2017