Active NPI
Bifano Eye Care PLLC
- Optometrist
- Dearborn Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003353
- Legal business name
- BIFANO EYE CARE PLLC
- Practice address
- 26388 Ford Rd
Dearborn Heights, MI 48127-2854 - Phone
- (313) 730-5020
- Fax
- (313) 730-5027
- NPI assigned
- Jun 4, 2007
- Last updated
- Mar 31, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rhonda Bifano, OD
- Title
- Owner
- Phone
- (313) 730-5020
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003353 | MI | Primary |
Addresses
Primary practice location
26388 Ford Rd
Dearborn Heights, MI 48127-2854
Mailing address
26388 Ford Rd
Dearborn Heights, MI 48127-2854
Phone (313) 730-5020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3216945 | Medicaid | MI | |
| 3216954 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100609000972 | MI | Part B Supplier - Clinic/Group Practice | 5092845594 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment Practice locations: Dearborn Heights, MI; South Lyon, MI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
26388 Ford Rd
Dearborn Heights, MI 48127
Phone (313) 730-5020
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- South Lyon, MI
- NPI 1285623207
-
- Optometrist
- Dearborn Heights, MI
- NPI 1003806910
-
- Optometrist
- Farmington, MI
- NPI 1851544191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427760000000",
"number": "1548462302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": {
"organization_name": "BIFANO EYE CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-04",
"last_updated": "2015-03-31",
"status": "A",
"authorized_official_last_name": "BIFANO",
"authorized_official_first_name": "RHONDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-730-5020",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3216945",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3216954",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.