Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Bifano

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730923707

Michael Bifano is an Optometry in Southaven, Mississippi. Graduated from Southern College of Optometry in 2024, 2 years ago. Practices with Desoto Eyecare Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
2
Trained at
Southern College of Optometry
Licensed in
MS
In the registry since
2024
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

726 Goodman Rd E Ste B
Southaven, MS 38671-9530
Phone: (662) 349-1959
Fax: (662) 510-2391
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1094 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730923707
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 24, 2024
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address726 Goodman Rd E Ste B, Southaven, MS 38671-9530

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2024 (2 years in practice)
Group practice Desoto Eyecare Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southaven