Maryjo Ference, OD

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

4901003317 Issued in MI

Practice address

2550 S Telegraph Rd Ste 100
Bloomfield Hills, MI 48302-0951

Phone

(248) 258-9000

Fax

(248) 499-6372

NPI assigned

May 2, 2007

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, WI, PA, MO, NH, IA6 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 6

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 75)

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.

• Myeyedr Optometry of Michigan, LLC

  dba MyEyeDr.

  • Optometrist
  • Shelby Township, MI
  • NPI 1639723596
  Medicare reassignment NPD
• Vision Specialists of Birmingham, PLLC

  dba Vision Specialists of Michigan

  • Optometrist
  • Bloomfield Hills, MI
  • NPI 1356488597
  Medicare reassignment NPD
• Visionworks, Inc

  dba Visionworks

  • Optometrist
  • Rochester Hills, MI
  • NPI 1366822991
  Medicare reassignment NPD
• Aeg Pennsylvania Professional Inc

  dba Eyes on Regent Square

  • Optometrist
  • Pittsburgh, PA
  • NPI 1851958854
  Medicare reassignment NPD
• Browning Corrections Optometry LLC

  dba Family Eye Care of Maryland Heights

  • Clinic/Center
  • Maryland Heights, MO
  • NPI 1043655228
  Medicare reassignment NPD
• Clarkson Optometry, Inc

  • Optometrist
  • Ellisville, MO
  • NPI 1497155345
  Medicare reassignment NPD
• Community Health Center of Fort Dodge Inc.

  • Federally Qualified Health Center (FQHC)
  • Fort Dodge, IA
  • NPI 1225083728
  Medicare reassignment NPD
• Crescent Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Dubuque, IA
  • NPI 1720146319
  Medicare reassignment NPD
• East Central Missouri Behavioral Health Services, Inc

  dba Arthur Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mexico, MO
  • NPI 1144293549
  Medicare reassignment NPD
• International Eyecare Center LLC

  • Optometrist
  • Quincy, IL
  • NPI 1760405047

  MO

  Medicare reassignment NPD
• Myeyedr Optometry of New Hampshire, PLLC

  dba MyEyeDr.

  • Optometrist
  • Milford, NH
  • NPI 1730764754
  Medicare reassignment NPD
• Myeyedr Optometry of Pennsylvania, LLC

  dba MyEyeDr.

  • Optometrist
  • Carlisle, PA
  • NPI 1003264607
  Medicare reassignment NPD

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1073734224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 S TELEGRAPH RD STE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020951",
            "telephone_number": "248-258-9000",
            "fax_number": "248-499-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S TELEGRAPH RD STE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020951",
            "telephone_number": "248-258-9000",
            "fax_number": "248-499-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERENCE",
        "first_name": "MARYJO",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3960-35",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100639",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004118",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "1096",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "TPOP199",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "125753",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2024027128",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MI",
            "license": "4901003317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max Feinstein, D.O
• Marcy Ellen Feldman, LMSW
• Karen Sara Feldstein, M.D.
• Madalina Felice
• Meredith Paige Fenton, LLC
• Debora L Ferguson, MD
• Khristian Dante Fermil
• Raquel Ferrer Bernad
• Samantha Nichole Fey, IBCLC
• Connor Feyen

• Pediatric Optometrist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Pediatric Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.