Individual provider Active NPI

Christopher Bifano, OD

  • Optometrist
  • Dearborn Heights, MI
National Provider Identifier
1003806910
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003561 Issued in MI
Practice address
26388 Ford Rd
Dearborn Heights, MI 48127-2854
Phone
(313) 730-5020
Fax
(313) 730-5027
NPI assigned
Oct 24, 2005
Last updated
Oct 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003561 MI Primary

Addresses

Primary practice location

26388 Ford Rd
Dearborn Heights, MI 48127-2854

Mailing address

12533 Woodpine Dr
South Lyon, MI 48178-8177
Phone (248) 486-6124

Other identifiers 1

IdentifierTypeStateIssuer
3216845MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090714000375 MI Practitioner - Optometry 6507918075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bifano Eye Care PLLCGroup PAC ID 5092845594, 3 clinicians

Practice addresses (Care Compare)

26388 Ford Rd
Dearborn Heights, MI 48127-2854
Phone (313) 730-5020

317 N Lafayette St
South Lyon, MI 48178-2034
Phone (248) 446-1350

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003561MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
M. Hanif Peracha , M.D. , P.C. CurrentSince Sep 1, 2019 Accepting new patients
Bifano Eye Care PLLC Optometrist Current Accepting new patients
Bifano Eye Care PLLC Optometrist CurrentSince Jan 1, 1996 Accepting new patients
Bennett Optometry LLC Optometrist Current Accepting new patients

Locations

117 S Main St
Ann Arbor, MI 48104
Phone (734) 665-5306

8538 N Canton Center Rd
Canton, MI 48187
Phone (734) 459-1111

26388 Ford Rd
Dearborn Heights, MI 48127
Phone (313) 730-5020

317 N Lafayette St
South Lyon, MI 48178
Phone (248) 446-1146

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1003806910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12533 WOODPINE DR",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481788177",
            "telephone_number": "248-486-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26388 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272854",
            "telephone_number": "313-730-5020",
            "fax_number": "313-730-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIFANO",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3216845",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

Verify at the official NPI Registry.