Debra E Bourdeau, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004051 Issued in MI

Practice address

3050 Union Lake Rd
Ste 3B
Commerce Township, MI 48382-4509

Phone

(248) 360-4300

Fax

(248) 360-4503

NPI assigned

Jan 12, 2006

Last updated

Jan 14, 2016By 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 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

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctors Alvarado, P.C.Group PAC ID 0345379251, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Doctors Alvarado, P.C.

  dba Fenton Vision Center

  • Optometrist
  • Fenton, MI
  • NPI 1013122639
  Medicare reassignment Care Compare group NPD
• Focal Point Optometrics PLLC

  dba Acuity Optics

  • Optometrist
  • Commerce Township, MI
  • NPI 1518112846
  Authorized official Same address or phone
• E Gay Eye Care PLLC

  dba Acuity Optics and Medical Eyecare

  • Optometrist
  • Commerce Township, MI
  • NPI 1730600602
  NPD (past)

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1790764173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 UNION LAKE RD STE 3B",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824563",
            "telephone_number": "248-360-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 UNION LAKE RD",
            "address_2": "STE 3B",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824509",
            "telephone_number": "248-360-4300",
            "fax_number": "248-360-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURDEAU",
        "first_name": "DEBRA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravipal Singh Bhatti, M.D, DDS
• Billy L Cooper
• BJP2 Inc (Commerce Township Pharmacy)
• Keiva L Bland, MD
• Bort-Swiss Orthopedic Supply
• Elizabeth Rose Bowlin, DO
• Valerie Nicole Boyer, MOTRL
• Mary Beth Brady, MD
• Casey Branach, MD
• Roland Brandt, DO

• Optometrist in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.