Shelby Macomb Vision Associates Inc
NPI 1104171602ActiveOrganization· Optometrist· Shelby Township, MI
Optometrist in Shelby Township, Michigan, registered in NPPES in July 2012. The authorized official on file is Baseem Wahab, O.D., Managing Optometrist.
Overview
| NPI | 1104171602 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2012 |
| Last updated in NPPES | Jul 20, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4901004569 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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