Organization
GRAND RAPIDS OPTOMETRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASEEM WAHAB OD (OWNER)
(602) 538-8116
Entity
Organization
Contact information
Practice address
110 S GREENVILLE WEST DR STE 1, GREENVILLE, MI 48838-3560
(616) 754-0110
Mailing address
22137 MICHIGAN AVE, DEARBORN, MI 48124-2204
(313) 766-2513
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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