Bruce Richard Wolffis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

BW002561 Issued in MI

Practice address

735 John R Rd Ste 150
Troy, MI 48083-5859

Phone

(248) 577-3659

Fax

(248) 588-9917

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Alabama School of Dentistry, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

P-Cor LLCGroup PAC ID 9931194149, 81 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bwolffis6369@direct.hfhs.org

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

• Pcor LLC

  • Optometrist
  • Troy, MI
  • NPI 1720033343
  Medicare reassignment Care Compare group NPD
• Pcor, LLC

  • Optometrist
  • Troy, MI
  • NPI 1801122460
  NPD

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1104865252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35184 CENTRAL CITY PKWY",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481856215",
            "telephone_number": "734-427-5200",
            "fax_number": "734-427-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 JOHN R RD STE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835859",
            "telephone_number": "248-577-3659",
            "fax_number": "248-588-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFFIS",
        "first_name": "BRUCE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "BW002561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce A Wolf, M.D.
• Lynda J Wolf, MD
• Kimberly Wolfe Davis, DNP,APRN, FNP-BC
• Gary Michael Wolfe II, PA-C
• Malgorzata Wolfe, MEDICAL LASER TECH
• James Wolford, CRNA
• Alea Woloszyn
• Womens Health Specialty Center PC
• Jeffery Wong, MD
• Alyssa Claire Wood, COTA/L

• Optometrist in Troy, MI
• Providers in Troy, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.