Provider Demographics
NPI:1477764710
Name:ROPE, STEPHEN JEFFERY (OD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:JEFFERY
Last Name:ROPE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29782 PALMER CT
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-1328
Mailing Address - Country:US
Mailing Address - Phone:248-888-1424
Mailing Address - Fax:
Practice Address - Street 1:2100 SOUTHFIELD RD
Practice Address - Street 2:
Practice Address - City:LINCOLN PARK
Practice Address - State:MI
Practice Address - Zip Code:48146-2250
Practice Address - Country:US
Practice Address - Phone:313-389-3190
Practice Address - Fax:313-389-3099
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901002222152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist