Individual provider Active NPI

Erik Henry Belcarz, O.D.

  • Optometrist
  • Farmington Hills, MI
National Provider Identifier
1003915737
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004374 Issued in MI
Practice address
29990 Northwestern Hwy
Farmington Hills, MI 48334-3225
Phone
(248) 538-6463
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004374 MI Primary

Addresses

Primary practice location

29990 Northwestern Hwy
Farmington Hills, MI 48334-3225

Mailing address

3385 Wolverine Dr
Troy, MI 48083-6802
Phone (734) 624-2211

Other practice location 1

45600 Utica Park Blvd
Utica, MI 48315-5917
Phone (586) 739-1675

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
I20070726000696 MI Practitioner - Optometry 6608977228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Porretta and Bergman MD, PCGroup PAC ID 2466593025, 4 clinicians

Practice addresses (Care Compare)

29990 Northwestern Hwy
Farmington Hills, MI 48334-3225
Phone (248) 538-6463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004374MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Porretta & Bergman MD, PC CurrentSince Jul 9, 2019 Accepting new patients
Porretta & Bergman MD, PC CurrentSince Jul 9, 2019 Accepting new patients
Pearle Vision Inc Past Accepting new patients
Pearle Vision Inc Optometrist Past Accepting new patients

Locations

29990 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-6463

2300 Haggerty Rd
Ste 1100
West Bloomfield, MI 48323
Phone (248) 538-6463

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1003915737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 WOLVERINE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836802",
            "telephone_number": "734-624-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29990 NORTHWESTERN HWY",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343225",
            "telephone_number": "248-538-6463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45600 Utica Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "MI",
            "postal_code": "483155917",
            "country_code": "US",
            "telephone_number": "586-739-1675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELCARZ",
        "first_name": "ERIK",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.