Organization Active NPI

Bifano Eye Care PLLC

  • Optometrist
  • Dearborn Heights, MI
National Provider Identifier
1548462302
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003353 Issued in MI
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Rhonda Bifano, ODNPI 1285623207
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3216945MedicaidMI
3216954MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.