Organization
SHELBY MACOMB VISION ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASEEM WAHAB O.D. (MANAGING OPTOMETRIST)
(586) 806-9333
Entity
Organization
Contact information
Practice address
50505 SCHOENHERR RD, STE 110, SHELBY TOWNSHIP, MI 48315-3140
(586) 806-9333
Mailing address
50505 SCHOENHERR RD, STE 110, SHELBY TOWNSHIP, MI 48315-3140
(586) 806-9333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004569
MI
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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