Individual provider Active NPI

Ebraam Mounir Bakhiet, OD

  • Optometrist
  • Troy, MI
National Provider Identifier
1952146102
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005796 Issued in MI
Practice address
2910 W Maple Rd
Troy, MI 48084-7031
Phone
(248) 435-2189
NPI assigned
Jun 28, 2024
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005796 MI Primary

Addresses

Primary practice location

2910 W Maple Rd
Troy, MI 48084-7031

Mailing address

5335 Fedora Dr
Troy, MI 48085-4008
Phone (248) 953-1647

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240820000162 MI Practitioner - Optometry 6800334095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SVS Vision IncGroup PAC ID 9931257110, 41 clinicians

Practice addresses (Care Compare)

106 W 12 Mile Rd
Madison Heights, MI 48071-2416
Phone (248) 414-1900

118 Cass Ave
Mount Clemens, MI 48043-2204
Phone (586) 468-7612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist Current Accepting new patients
SVS Vision Inc Optometrist CurrentSince Nov 1, 2024 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Nov 1, 2024 Accepting new patients
West Point Optical Group Optometrist CurrentSince Aug 12, 2024 Accepting new patients
West Point Optical Group Optometrist Past Accepting new patients
West Point Optical Group Optometrist Past Accepting new patients
West Point Optical Group Optometrist PastSince Aug 28, 2022 Accepting new patients

Locations

654 Briarwood Cir
Ann Arbor, MI 48108
Phone (734) 761-8300

4576 Miller Rd
Flint, MI 48507
Phone (810) 732-4100

1736 W Michigan Ave
Jackson, MI 49202
Phone (517) 789-7131

30981 5 Mile Rd
Livonia, MI 48154
Phone (734) 522-3000

118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479

26140 Ingersol Dr
Novi, MI 48375
Phone (248) 348-2900

2875 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 852-5230

32987 Woodward Ave
Royal Oak, MI 48073
Phone (248) 549-9080

21304 Eureka Rd
Taylor, MI 48180
Phone (734) 287-4300

2910 W Maple Rd
Troy, MI 48084
Phone (248) 435-2189

316 S Hamilton Rd
Gahanna, OH 43230

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1952146102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 FEDORA DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854008",
            "telephone_number": "248-953-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 W MAPLE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847031",
            "telephone_number": "248-435-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHIET",
        "first_name": "EBRAAM",
        "middle_name": "MOUNIR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.