Organization
EYE INSTITUTE OF SOUTH EASTERN MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ABRAHAM SHAHEEN III O.D. (PRESIDENT)
(734) 675-2079
Entity
Organization
Contact information
Practice address
10531 W JEFFERSON AVE, RIVER ROUGE, MI 48218-1306
(313) 841-5060
(313) 841-5060
Mailing address
10531 W JEFFERSON AVE, RIVER ROUGE, MI 48218-1306
(313) 841-5060
(313) 841-5060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003733
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3475571
—
MI
01
—
900H202090
BLUE CROSS PROVIDER NO.
MI
Enumeration date
05/14/2007
Last updated
12/07/2017
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