Eye Institute Of South Eastern Michigan | |
10531 W Jefferson Ave, River Rouge, MI 48218-1306 | |
(313) 841-5060 | |
(313) 841-5060 |
Full Name | Eye Institute Of South Eastern Michigan |
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Type | Facility |
Speciality | Optometrist |
Location | 10531 W Jefferson Ave, River Rouge, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831304765 | NPI | - | NPPES |
3475571 | Medicaid | MI | |
900H202090 | Other | MI | BLUE CROSS PROVIDER NO. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901003733 (Michigan) | Primary |
Provider Name | William A Shaheen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750596672 PECOS PAC ID: 3375434814 Enrollment ID: I20040324000035 |
Provider Name | Zeinab Houjaij |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1477122976 PECOS PAC ID: 9335540665 Enrollment ID: I20210624001456 |
Provider Name | Ali Ayoub |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336969930 PECOS PAC ID: 4688101330 Enrollment ID: I20241219002632 |
Mailing Address | Practice Location Address |
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Eye Institute Of South Eastern Michigan 10531 W Jefferson Ave, River Rouge, MI 48218-1306 Ph: (313) 841-5060 | Eye Institute Of South Eastern Michigan 10531 W Jefferson Ave, River Rouge, MI 48218-1306 Ph: (313) 841-5060 |
Dr. William Abraham Shaheen Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10531 W Jefferson Ave, River Rouge, MI 48218 Phone: 313-841-5060 |