Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EMMETT DEWAYNE COSGROVE, OD
Active Sole ProprietorEMMETT DEWAYNE COSGROVE, OD is a Optometrist healthcare provider located in SOUTH HAVEN, Michigan. NPI 1316941255 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SOUTH HAVEN, MI
Registration Details
- NPI Number
- 1316941255
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2005 (21.159288225001 yrs)
- Last Updated
- Aug 18, 2008
- License
-
002521 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11282 M140 HIGHWAYSOUTH HAVEN, MI, 490909405Browse MI providers · Browse ZIP 49090
- Phone
- 2696371569
- Fax
- 2696374519
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in SOUTH HAVEN, MI
| Name | Credential | NPI |
|---|---|---|
| DR. ALICE MARIE BACAK | O.D. | 1669470159 |
| DR. JOHN A MANNIK | O.D. | 1003814500 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.