Dominika Bizub, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005767 Issued in MI

Practice address

1535 E Broomfield St
Mt Pleasant, MI 48858-4489

Phone

(989) 772-3339

Fax

(989) 772-4846

NPI assigned

Jul 2, 2024

Last updated

Oct 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lansing Ophthalmology, PCGroup PAC ID 9335041409, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dominika.bizubod.p1@direct.lansingophthalmology.nextgenshare.com

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.

• Lansing Ophthalmology, P.C.

  dba LO Eye Care

  • Ophthalmology Physician
  • East Lansing, MI
  • NPI 1962485342

  Optometrist

  Medicare reassignment Care Compare group NPD
• Ferris State University

  dba University Eye Center

  • Optometrist
  • Big Rapids, MI
  • NPI 1871510859
  Medicare reassignment NPD
• Ferris State University

  dba University Eye Center

  • Ophthalmology Physician
  • Big Rapids, MI
  • NPI 1477574101
  NPD
• Lansing Ophthalmology, P.C.

  dba LO Eye Care

  • Optometrist
  • East Lansing, MI
  • NPI 1265415301
  NPD

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1962248773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 COOLIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231378",
            "telephone_number": "517-337-0316",
            "fax_number": "517-337-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 E BROOMFIELD ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488584489",
            "telephone_number": "989-772-3339",
            "fax_number": "989-772-4846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Coolidge Rd",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488231378",
            "country_code": "US",
            "telephone_number": "517-337-1668",
            "fax_number": "517-337-1779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIZUB",
        "first_name": "DOMINIKA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matiur Rahman Bhuiya, PHARM D
• Bushra Billoo, M.D.
• Connie Lee Bills, D.P.M.
• Birch and Bloom Counseling
• Kristen Birch
• Amanda Nichole Black
• Rachel Marie Black
• Mary Jane Blackmer, LPC
• Paula Blackmer
• Blaz'N Transportation LLC

• Optometrist in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.