EYE INSTITUTE OF SOUTH EASTERN MICHIGAN
NPI 1831304765
Optometrist in River Rouge, MI
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
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted 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)
Eye Institute Of South Eastern Michigan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Eye Institute Of South Eastern Michigan, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 23D2129651
Eye Institute Of Southeastern Michigan · River Rouge, MIFrequently 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.
Is Eye Institute Of South Eastern Michigan enrolled in Medicare?
Yes. Eye Institute Of South Eastern Michigan is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eye Institute Of South Eastern Michigan?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Eye Institute Of South Eastern Michigan. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 8 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.
# Eye Institute Of South Eastern Michigan · NPI 1831304765
Optometrist organization in River Rouge, Michigan. Organization record, active in the CMS NPPES registry since May 14, 2007.
## Identity
- **NPI:** 1831304765 (Entity type: Organization)
- **Enumerated:** May 14, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** William Shaheen, PRESIDENT
## Practice location
- **Address:** 10531 W JEFFERSON AVE, River Rouge, MI 48218-1306
- **Phone:** (313) 841-5060 · **Fax:** (313) 841-5060
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 7, 2017
- **Other identifiers:** Other 900H202090 (MI); Medicaid 3475571 (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1831304765) · Data from the CMS NPPES public registry.