Provider Demographics
NPI:1609006303
Name:ROSEMORE EYE CARE PA
Entity Type:Organization
Organization Name:ROSEMORE EYE CARE PA
Other - Org Name:ROSEMORE EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:ROSEMORE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-596-2224
Mailing Address - Street 1:4637 HEDGCOXE RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024
Mailing Address - Country:US
Mailing Address - Phone:972-596-2224
Mailing Address - Fax:972-596-2229
Practice Address - Street 1:4637 HEDGCOXE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024
Practice Address - Country:US
Practice Address - Phone:972-596-2224
Practice Address - Fax:972-596-2229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty