EYE INSTITUTE OF SOUTH EASTERN MICHIGAN
NPI 1831304765
Optometrist in River Rouge, MI

Active since May 14, 2007CLIA 23D2129651 · Waiver
10531 W JEFFERSON AVE, RIVER ROUGE, MI 48218(313) 841-5060(313) 841-5060 Get Directions Write a Review

NPPES record last updated: December 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eye Institute Of South Eastern Michigan NPPES

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

EYE INSTITUTE OF SOUTH EASTERN MICHIGAN (NPI 1831304765) is a healthcare organization registered as an optometrist in River Rouge, Michigan and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists William Abraham Shaheen, President, as its authorized official.

NPPES Registry Identity

NPI1831304765
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEYE INSTITUTE OF SOUTH EASTERN MICHIGAN
Location Address10531 W JEFFERSON AVERiver Rouge, MI 48218-1306
Mailing Address10531 W Jefferson AveRiver Rouge, MI 48218-1306 · (313) 841-5060 · Fax (313) 841-5060
Fax(313) 841-5060
Organization SubpartNo
Authorized OfficialWilliam Abraham ShaheenPresident · (734) 675-2079
Enumeration DateMay 14, 2007
Last NPPES UpdateDecember 7, 2017
NPI 1831304765 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 · 4901003733
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.
10531 W JEFFERSON AVE, River Rouge, MI 48218

Other Identifiers 2

Other900H202090MI · Blue Cross Provider No.
Medicaid3475571MI

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

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 23D2129651

Eye Institute Of Southeastern Michigan · River Rouge, MI
Active · expires Apr 23, 2027
CLIA Number23D2129651
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorWilliam A. Shaheen
Laboratory Phone(313) 841-5060
Laboratory LocationEye Institute Of Southeastern Michigan10531 W Jefferson Avenue, River Rouge, MI 48218
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
10531 W JEFFERSON AVE
RIVER ROUGE, MI 48218

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 Eye Institute Of South Eastern Michigan's NPI number?

The NPI number for Eye Institute Of South Eastern Michigan is 1831304765. It was assigned to this organization in the NPPES registry on May 14, 2007.

Where is Eye Institute Of South Eastern Michigan located?

Eye Institute Of South Eastern Michigan is located at 10531 W Jefferson Ave, River Rouge, MI 48218. The listed phone number is (313) 841-5060.

What is Eye Institute Of South Eastern Michigan's specialty?

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

Does Eye Institute Of South Eastern Michigan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2129651) is associated with this NPI, valid through April 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eye Institute Of South Eastern Michigan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Eye Institute Of South Eastern Michigan 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 Eye Institute Of South Eastern Michigan was last updated on December 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.