Organization
ROSEDALE VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBY DAVIS (CEO)
(313) 533-4003
Entity
Organization
Contact information
Practice address
19950 GRAND RIVER, DETROIT, MI 48223
(313) 533-4003
Mailing address
19950 GRAND RIVER, DETROIT, MI 48223
(313) 533-4003
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
11/15/2017
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