DRY EYE HEALING INSTITUTE
NPI 1124462452
Optometrist in West Bloomfield, MI

Q: What is Dry Eye Healing Institute's NPI number?

The NPI number for Dry Eye Healing Institute is 1124462452. It was assigned to this organization in the NPPES registry on April 17, 2013.

Q: What is Dry Eye Healing Institute's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since April 17, 2013CLIA 23D2243510 · Waiver

5600 W MAPLE RD STE A120, WEST BLOOMFIELD, MI 48322(248) 413-8030 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 24, 2025, Oct 18, 2021 (2 updates tracked since 2021).

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About Dry Eye Healing Institute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DRY EYE HEALING INSTITUTE (NPI 1124462452) is a healthcare organization registered as an optometrist in West Bloomfield, Michigan and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Jennifer Jane Shaba, Doctor, as its authorized official.

NPPES Registry Identity

NPI1124462452

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDRY EYE HEALING INSTITUTE

Location Address5600 W MAPLE RD STE A120West Bloomfield, MI 48322-3782

Mailing Address5600 W Maple Rd Ste A120West Bloomfield, MI 48322-3782 · (248) 847-3372 · Fax (248) 243-8963

Phone(248) 413-8030

Organization SubpartNo

Authorized OfficialJennifer Jane ShabaDoctor · (248) 847-3372

Enumeration DateApril 17, 2013

Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration

NPPES CertifiedNovember 24, 2025

✔ NPI 1124462452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MI · 4901004524

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

5600 W MAPLE RD STE A120, West Bloomfield, MI 48322

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Other Names 1

Doing Business AsDry Eye Healing Institute

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dry Eye Healing Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dry Eye Healing Institute, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Shaba, O.D.

Optometry

NPI 1508095464

5600 W MAPLE RD STE A120
West Bloomfield, MI 48322

(248) 847-3372

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2243510

Dry Eye Healing Institute · West Bloomfield, MI

Active · expires Nov 18, 2027

CLIA Number23D2243510

Laboratory TypePhysician Office

Certificate Effective DateNovember 19, 2025

Certificate Expiration DateNovember 18, 2027

Laboratory DirectorJennifer S. Yalldo

Laboratory Phone(248) 847-3372

Laboratory LocationDry Eye Healing Institute5620 W Maple Road, West Bloomfield, MI 48322

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dry Eye Healing Institute's NPI number?

The NPI number for Dry Eye Healing Institute is 1124462452. It was assigned to this organization in the NPPES registry on April 17, 2013.

Where is Dry Eye Healing Institute located?

Dry Eye Healing Institute is located at 5600 W Maple Rd Ste A120, West Bloomfield, MI 48322. The listed phone number is (248) 413-8030.

What is Dry Eye Healing Institute's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Dry Eye Healing Institute enrolled in Medicare?

Yes. Dry Eye Healing Institute is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dry Eye Healing Institute?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Dry Eye Healing Institute. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dry Eye Healing Institute hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2243510) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dry Eye Healing Institute accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Dry Eye Healing Institute as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dry Eye Healing Institute was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.