Individual provider Active NPI

Mark Michael Garin, O.D.

  • Optometrist
  • Bloomfield Hills, MI
National Provider Identifier
1982699294
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003079 Issued in MI
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

Updated by the provider on Nov 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1780532MedicaidMI
P07250003OtherMIMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100630000106 MI Practitioner - Optometry 0143351486 Reassigns benefits to 1 organization

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 100Reported as group
Quality
91.62
Improvement activities
40
Cost
77.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003079MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Burman & Zuckerbrod Ophthalmology Associates, P.C Optometrist CurrentSince Aug 8, 1986 Accepting new patients
Burman & Zuckerbrod Ophthalmology Associates, PC CurrentSince Aug 8, 1986 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.