Organization
ROSEDALE EYECARE
Active
Other names
RoseDale Eyecare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK RAY MARTIN (VP)
(313) 533-4003
Entity
Organization
Contact information
Practice address
19460 GRAND RIVER, DETROIT, MI 48223
(313) 533-4003
Mailing address
19460 GRAND RIVER, DETROIT, MI 48223
(313) 533-4003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
4901002131
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4J10880
—
MI
Enumeration date
12/15/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us