DR. BRUCE RICHARD WOLFFIS (OD) – Optometrist, NPI 1104865252

DR. BRUCE RICHARD WOLFFIS (OD) is a healthcare provider. based in Troy, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. BW002561 (MI). The NPI Number for DR. BRUCE RICHARD WOLFFIS (OD) is 1104865252

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRUCE RICHARD WOLFFIS (OD)
NPI
1104865252
Phone
(248) 577-3659
Address
735 JOHN R RD STE 150
Enumeration Date
5 June 2006
Last Update Date
28 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF DENTISTRY
Secondary Phone
7344275200
Graduation Year
1976 (50 years ago)
PAC ID
1557537883
Group Practice PAC ID
9931194149
Professional Enrollment ID
I20120106000788
Address ID
MI481856215WE35184PKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for DR. BRUCE RICHARD WOLFFIS (OD)

  • John R Road, Troy, Oakland County, Michigan, 48307, United States

    TROY, MI 480835859

    Phone: (248) 577-3659

    Fax: (248) 588-9917

    Type: Location

  • Central City Parkway, Westland, Wayne County, Michigan, 48185, United States

    WESTLAND, MI 481856215

    Phone: (734) 427-5200

    Fax: (734) 427-8136

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120106000788IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48083)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931194149View full group profile

Reviews

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Frequently asked questions

How is DR. BRUCE RICHARD WOLFFIS (OD) identified in CMS data?
CMS-hosted NPPES data lists DR. BRUCE RICHARD WOLFFIS (OD) with NPI 1104865252.
Does the file indicate DR. BRUCE RICHARD WOLFFIS (OD) is practicing under active NPI?
Directory data currently reports DR. BRUCE RICHARD WOLFFIS (OD) as active.
What is DR. BRUCE RICHARD WOLFFIS (OD)'s primary classification?
Optometrist is the headline specialty for DR. BRUCE RICHARD WOLFFIS (OD) here. Clinical services aligned with this taxonomy classification.
Where is DR. BRUCE RICHARD WOLFFIS (OD) based?
DR. BRUCE RICHARD WOLFFIS (OD) is tied to Troy, Michigan in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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