Provider Demographics
NPI:1245683770
Name:BILEK, BIANCA (OD)
Entity type:Individual
Prefix:DR
First Name:BIANCA
Middle Name:
Last Name:BILEK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 S ADAMS RD
Mailing Address - Street 2:STE 200
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6863
Mailing Address - Country:US
Mailing Address - Phone:248-646-3733
Mailing Address - Fax:248-642-2566
Practice Address - Street 1:600 S ADAMS RD STE 200
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-6863
Practice Address - Country:US
Practice Address - Phone:248-646-3733
Practice Address - Fax:248-642-2566
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-20
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004993152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist