Provider Demographics
NPI:1952876054
Name:EYES OPTOMETRY PLLC
Entity Type:Organization
Organization Name:EYES OPTOMETRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROXANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTTIERS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:989-640-0390
Mailing Address - Street 1:5820 E MOUNT HOPE HWY
Mailing Address - Street 2:
Mailing Address - City:GRAND LEDGE
Mailing Address - State:MI
Mailing Address - Zip Code:48837-9459
Mailing Address - Country:US
Mailing Address - Phone:989-640-0360
Mailing Address - Fax:
Practice Address - Street 1:221 S BRIDGE ST
Practice Address - Street 2:
Practice Address - City:GRAND LEDGE
Practice Address - State:MI
Practice Address - Zip Code:48837-1526
Practice Address - Country:US
Practice Address - Phone:989-640-0360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center