OrganizationActive
Promedica Central Physicians LLC
NPI 1417355223 · Optometrist · Monroe, MI
Provider details
- NPI number
- 1417355223
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Amy Dywer, Credentialing Supervisor(419) 824-7334
Specialties & taxonomies
Eye and Vision Services Providers
- Ophthalmology Physician207W00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1180 N Monroe St
Monroe, MI 48162-3190
Phone: (734) 243-5300
Fax: (734) 243-3236
Street-level locationGet directions
Mailing address
1180 N Monroe St
Monroe, MI 48162-3190
Other names (DBA / former)
- Doing business as
- Promedica Physicians Eye Care
Registry dates
- Enumerated
- 2014-12-10
- Last updated
- 2014-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.