Provider Demographics
NPI:1740847086
Name:ROSIN EYECARE P.C.
Entity type:Organization
Organization Name:ROSIN EYECARE P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:615-491-3847
Mailing Address - Street 1:6233 CERMAK RD
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-2317
Mailing Address - Country:US
Mailing Address - Phone:708-749-2020
Mailing Address - Fax:708-749-2069
Practice Address - Street 1:412 ELYSIAN FIELDS RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4211
Practice Address - Country:US
Practice Address - Phone:615-834-8495
Practice Address - Fax:615-833-1143
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROSIN EYECARE P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-22
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty