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ROSEDALE EYECARE
NPI 1902968837
Optometrist in Detroit, MI

Active since December 15, 2006
19460 GRAND RIVER, DETROIT, MI 48223(313) 533-4003 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Rosedale Eyecare NPPES

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

ROSEDALE EYECARE (NPI 1902968837) is a healthcare organization registered as an optometrist in Detroit, Michigan and active in the NPI registry since December 2006. The organization lists Derrick Ray Martin, Vp, as its authorized official.

NPPES Registry Identity

NPI1902968837
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameROSEDALE EYECARE
Location Address19460 GRAND RIVERDetroit, MI 48223
Mailing Address19460 Grand RiverDetroit, MI 48223 · (313) 533-4003
Phone(313) 533-4003
Organization SubpartNo
Authorized OfficialDerrick Ray MartinVp · (313) 533-4003
Enumeration DateDecember 15, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1902968837 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 ListedEyewear SupplierTaxonomy 332H00000X · License 4901002131 (MI)

Other Names 1

Other NameRosedale Eyecare Llc

Other Identifiers 1

Medicaid4J10880MI

Other Providers at the Same Location NPPES 2

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

HASAN JIHAD HAMAM M.D.
Student in an Organized Health Care Education/Training Program
19460 GRAND RIVER, DETROIT MEDICAL CENTER GRAND RIVER HEALTH CENTER
DETROIT, MI 48223
Wayne County (313) 387-1097
REHAB ONE INC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
19460 GRAND RIVER
DETROIT, MI 48223
Wayne County (313) 592-9029

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 Rosedale Eyecare's NPI number?

The NPI number for Rosedale Eyecare is 1902968837. It was assigned to this organization in the NPPES registry on December 15, 2006. The provider is also known as RoseDale Eyecare LLC.

Where is Rosedale Eyecare located?

Rosedale Eyecare is located at 19460 Grand River, Detroit, MI 48223. The listed phone number is (313) 533-4003.

What is Rosedale Eyecare's specialty?

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

When was this NPI record last updated?

The NPPES record for Rosedale Eyecare was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.