MEDICARE: MRS. MARYJO FERENCE OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	3960-35	WI
2	152W00000X	Optometrist	ODP-100639	ID
3	152W00000X	Optometrist	OEG004118	PA
4	152W00000X	Optometrist	1096	NH
5	152W00000X	Optometrist	TPOP199	FL
6	152W00000X	Optometrist	125753	IA
7	152W00000X	Optometrist	2024027128	MO
8	152WP0200X	Pediatric Optometrist	4901003317	MI

General Provider Information

NPI Number	:	1073734224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARYJO FERENCE OD

Provider Business Mailing Address
First Line	:	2550 S TELEGRAPH RD STE 100
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-0951
Country	:	US
Telephone Number	:	248-258-9000
Fax Number	:	248-499-6372

Provider Business Practice Location Address
First Line	:	2550 S TELEGRAPH RD STE 100
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-0951
Country	:	US
Telephone Number	:	248-258-9000
Fax Number	:	248-499-6372

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	09/04/2024

Similar Medicare Providers

1952141863 — KAITLYN MACKENZIE DAVIDSON
Practice Location Address:

2550 S TELEGRAPH RD STE 104
BLOOMFIELD HILLS, MI
48302-0951

Practice Phone: 248-972-5143
Practice Fax:

1801960737 — DR. SANDY ANNA DIPONIO O.D.
Practice Location Address:

2550 S TELEGRAPH RD STE 100
BLOOMFIELD HILLS, MI
48302-0951

Practice Phone: 248-258-9000
Practice Fax:

1114063856 — DR. PAUL CHARLES FEINBERG O.D.
Practice Location Address:

2550 S TELEGRAPH RD STE 100
BLOOMFIELD HILLS, MI
48302-0951

Practice Phone: 248-258-9000
Practice Fax: 248-499-6372

1588876056 — RUBA BARAKAT KADO M.D.
Practice Location Address:

2550 S TELEGRAPH RD STE 104
BLOOMFIELD HILLS, MI
48302-0951

Practice Phone: 319-530-8368
Practice Fax:

1831422294 — CG INC
Practice Location Address:

2550 S TELEGRAPH RD STE 107A
BLOOMFIELD HILLS, MI
48302-0951

Practice Phone: 248-886-8175
Practice Fax: 248-886-8171

1730793928 — TRIA HEALTH, PLLC
Practice Location Address:

2550 S TELEGRAPH RD STE 104
BLOOMFIELD HILLS, MI
48302-0951

Practice Phone: 248-972-5143
Practice Fax:

Directions to “ MRS. MARYJO FERENCE OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.