Organization Active NPI

Bloomfield Eye Associates PC

  • Ophthalmology Physician
  • Farmington Hills, MI
National Provider Identifier
1376921783
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5101018290 Issued in MI
Legal business name
BLOOMFIELD EYE ASSOCIATES PC
Practice address
32255 Northwestern Hwy Ste 45
Farmington Hills, MI 48334-1572
Phone
(248) 550-0393
NPI assigned
May 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Dr. Sally Murad-Kejbou, D.O.NPI 1366671521
Title
Co-Founder
Phone
(248) 379-5055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 5101018290 MI Primary

Addresses

Primary practice location

32255 Northwestern Hwy Ste 45
Farmington Hills, MI 48334-1572

Mailing address

32255 Northwestern Hwy Ste 45
Farmington Hills, MI 48334-1572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150622002495 MI Part B Supplier - Clinic/Group Practice 9638480320 Receives reassigned benefits from 2 practitioners
Practice locations: Farmington Hills, MI

National Provider Directory

National Provider Directory

Locations

43700 Woodward Ave
Ste 103
Bloomfld Hls, MI 48302
Phone (248) 332-4629

32255 Northwestern Hwy
Ste 45
Farmington Hills, MI 48334
Phone (248) 550-0393

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15049/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1376921783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32255 NORTHWESTERN HWY STE 45",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32255 NORTHWESTERN HWY STE 45",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341572",
            "telephone_number": "248-550-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD EYE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "MURAD-KEJBOU",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "248-379-5055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101018290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.