DR. DEBRA E BOURDEAU (O.D.) – Optometrist, NPI 1790764173

DR. DEBRA E BOURDEAU (O.D.) is a healthcare provider. based in Commerce township, Michigan. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4901004051 (MI). The NPI Number for DR. DEBRA E BOURDEAU (O.D.) is 1790764173

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEBRA E BOURDEAU (O.D.)
NPI
1790764173
Phone
(248) 360-4300
Address
3050 UNION LAKE RD STE 3B
Enumeration Date
12 January 2006
Last Update Date
14 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8106293070
Graduation Year
2000 (26 years ago)
PAC ID
5698838324
Group Practice PAC ID
0345379251
Professional Enrollment ID
I20090107000257
Address ID
MI484302606FE212XXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for DR. DEBRA E BOURDEAU (O.D.)

  • Union Lake Road, Commerce Township, Oakland County, Michigan, 48382, United States

    COMMERCE TOWNSHIP, MI 483824563

    Phone: (248) 360-4300

    Type: Mailing

  • 3050, Union Lake Road, Commerce Township, Oakland County, Michigan, 48382, United States

    STE 3B

    COMMERCE TOWNSHIP, MI 483824509

    Phone: (248) 360-4300

    Fax: (248) 360-4503

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-05-29 • Largest payer in this snapshot: Alcon Vision LLC ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$19
View all Open Payments →|Open Payments Risk Radar →

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: 2009-01-07

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
I20090107000257IOptometryMITBD

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 48382)

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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: 0345379251View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. DEBRA E BOURDEAU (O.D.)?
DR. DEBRA E BOURDEAU (O.D.) — NPI 1790764173 — is the standard way to identify this listing.
Is DR. DEBRA E BOURDEAU (O.D.) still practicing?
DR. DEBRA E BOURDEAU (O.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. DEBRA E BOURDEAU (O.D.)?
For research purposes, treat DR. DEBRA E BOURDEAU (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. DEBRA E BOURDEAU (O.D.) on a map?
Expect Commerce Township, Michigan as a primary anchor for DR. DEBRA E BOURDEAU (O.D.) unless the record lists multiple sites.
Why does DR. DEBRA E BOURDEAU (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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