Eye Institute Of South Eastern Michigan is a medicare enrolled "Optometrist" provider in River Rouge, Michigan. Their current practice location is
10531 W Jefferson Ave, River Rouge, Michigan. You can reach out to their office (for appointments etc.) via phone at
(313) 841-5060.
Eye Institute Of South Eastern Michigan is licensed to practice in Michigan (license number 4901003733) and it also participates in the medicare program. Eye Institute Of South Eastern Michigan
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1831304765.
Healthcare Provider's Profile
| Full Name | Eye Institute Of South Eastern Michigan |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 10531 W Jefferson Ave, River Rouge, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831304765
- Provider Enumeration Date: 05/14/2007
- Last Update Date: 12/07/2017
Medicare PECOS Information:
- PECOS PAC ID: 6204727738
- Enrollment ID: O20040323001258
Medical Identifiers
Medical identifiers for Eye Institute Of South Eastern Michigan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831304765 | NPI | - | NPPES |
| 3475571 | Medicaid | MI | |
| 900H202090 | Other | MI | BLUE CROSS PROVIDER NO. |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 4901003733 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Eye Institute Of South Eastern Michigan acts as a billing entity for following providers:
| Provider Name | William A Shaheen |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1750596672
PECOS PAC ID: 3375434814
Enrollment ID: I20040324000035 |
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| Provider Name | Zeinab Houjaij |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1477122976
PECOS PAC ID: 9335540665
Enrollment ID: I20210624001456 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eye Institute Of South Eastern Michigan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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 |
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