Organization
MICHIGAN EYE CARE PROVIDER PLLC
Active
Organization
MICHIGAN EYE CARE PROVIDER PLLC
Active
Other names
Fraser Eye Care Center, Fraser Eye Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHDI M BASHA DO (MEDICAL DIRECTOR)
(586) 296-7250
Entity
Organization
Contact information
Practice address
33080 UTICA RD, FRASER, MI 48026-2038
(586) 296-7250
(586) 296-7256
Mailing address
33080 UTICA RD STE B, FRASER, MI 48026-2038
(586) 296-7250
(586) 296-7256
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598151318
—
MI
Enumeration date
04/08/2015
Last updated
07/20/2026
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