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PROMEDICA PHYSICIANS EYE CARE
NPI 1417355223
Optometrist in Monroe, MI

Active since December 10, 2014
1180 N MONROE ST, MONROE, MI 48162(734) 243-5300(734) 243-3236 Get Directions Write a Review

NPPES record last updated: December 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Promedica Physicians Eye Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROMEDICA PHYSICIANS EYE CARE (NPI 1417355223) is a healthcare organization registered as an optometrist in Monroe, Michigan and active in the NPI registry since December 2014. The organization lists Amy L Dywer, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1417355223
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePROMEDICA CENTRAL PHYSICIANS LLC
Location Address1180 N MONROE STMonroe, MI 48162-3190
Mailing Address1180 N Monroe StMonroe, MI 48162-3190 · (734) 243-5300 · Fax (734) 243-3236
Phone(734) 243-5300
Fax(734) 243-3236
Organization SubpartNo
Authorized OfficialAmy L DywerCredentialing Supervisor · (419) 824-7334
Enumeration DateDecember 10, 2014
✔ NPI 1417355223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
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.
Also ListedOphthalmologyTaxonomy 207W00000X
1180 N MONROE ST, Monroe, MI 48162
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Other Names 1

Doing Business AsPromedica Physicians Eye Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Promedica Central Physicians LLC carries, from the Medicare DMEPOS supplier directory.

Promedica Central Physicians LLC

DMEPOS supplier · Monroe, MIOperated by Promedica Central Physicians
✔

Accepts Medicare assignment

Promedica Central Physicians LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20633909
Medicare Participant SinceApril 1, 1999
Supplier Location1180 N Monroe StMonroe, MI 48162
Phone(734) 243-5300
Provider TypePhysician – Ophthalmology
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Ocular Prostheses
Prosthetic eyes
Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YASMYNE RONQUILLO M.D.
Ophthalmology
1180 N MONROE ST
MONROE, MI 48162
Monroe County (734) 243-5300
DR. DOUGLAS E GILLIES O.D.
Optometrist
1180 N MONROE ST
MONROE, MI 48162
Monroe County (734) 243-5300
DR. SUSAN HILBORN MCCUTCHEON OD
Optometrist
1180 N MONROE ST
MONROE, MI 48162
Monroe County (734) 243-5300
DR. KEN N FEINAUER O.D.
Optometrist
1180 N MONROE ST
MONROE, MI 48162
Monroe County (734) 243-5300
REED VISION ASSOCIATES, P.C.
Optometrist
1180 N MONROE ST
MONROE, MI 48162
Monroe County (734) 243-5300
REED VISION ASSOCIATES PC
Ophthalmology
1180 N MONROE ST
MONROE, MI 48162
Monroe County (734) 243-5300
MERCY EYE INSTITUTE, LLC
Ophthalmology
1180 N MONROE ST
MONROE, MI 48162
Monroe County (734) 243-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Promedica Central Physicians LLC's NPI number?

The NPI number for Promedica Central Physicians LLC is 1417355223. It was assigned to this organization in the NPPES registry on December 10, 2014. The provider is doing business as Promedica Physicians Eye Care.

Where is Promedica Central Physicians LLC located?

Promedica Central Physicians LLC is located at 1180 N Monroe St, Monroe, MI 48162. The listed phone number is (734) 243-5300.

What is Promedica Central Physicians LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Promedica Central Physicians LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Promedica Central Physicians LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Promedica Central Physicians LLC was last updated on December 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.