Active NPI
Mark Michael Garin, O.D.
- Optometrist
- Bloomfield Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003079
- Practice address
- 43996 Woodward Avenue
Suite 101
Bloomfield Hills, MI 48302-5028 - Phone
- (248) 332-4544
- Fax
- (248) 332-2716
- NPI assigned
- Sep 13, 2005
- Reactivated
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003079 | MI | Primary |
Addresses
Primary practice location
43996 Woodward Avenue
Suite 101
Bloomfield Hills, MI 48302-5028
Mailing address
43996 Woodward Avenue
Suite 101
Bloomfield Hills, MI 48302-5028
Phone (248) 332-4544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780532 | Medicaid | MI | |
| P07250003 | Other | MI | MEDICARE PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
43996 Woodward Ave
Suite 101
Bloomfield Hills, MI 48302-5028
Phone (248) 332-4544
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.71 of 100
- Quality
- 91.62
- Improvement activities
- 40
- Cost
- 77.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901003079 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burman & Zuckerbrod Ophthalmology Associates, P.C | Optometrist | Current | Accepting new patients |
| Burman & Zuckerbrod Ophthalmology Associates, PC | Current | Accepting new patients |
Locations
43996 Woodward Ave
Ste 101
Bloomfld Hls, MI 48302
Phone (248) 332-4544
10 W Square Lake Rd
Ste 102
Bloomfld Hls, MI 48302
Phone (248) 332-4544
14400 W McNichols Rd
Detroit, MI 48235
Phone (313) 341-3450
7992 N Wayne Rd
Westland, MI 48185
Phone (313) 522-6131
Interoperability endpoints
- mgarin@burmanzuckerbrod.direct.eyemdemr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Bloomfield Hills, MI
- NPI 1528140464
Optometrist
-
dba GNB Optical Westland
- Optician
- Westland, MI
- NPI 1144418872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354233600000",
"number": "1982699294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43996 WOODWARD AVENUE",
"address_2": "SUITE 101",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483025028",
"telephone_number": "248-332-4544",
"fax_number": "248-332-2716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43996 WOODWARD AVENUE",
"address_2": "SUITE 101",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483025028",
"telephone_number": "248-332-4544",
"fax_number": "248-332-2716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARIN",
"first_name": "MARK",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2012-11-30",
"deactivation_date": "2006-03-23",
"reactivation_date": "2006-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780532",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "P07250003",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.