Individual provider Active NPI

Baseem Wahab

  • Optometrist
  • Dearborn, MI
National Provider Identifier
1275503856
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004506 Issued in MI
Practice address
22137 Michigan Ave
Dearborn, MI 48124-2204
Phone
(248) 387-9595
NPI assigned
Jan 25, 2006
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1176 AZ
Optometrist 152W00000X 4901004506 MI Primary

Addresses

Primary practice location

22137 Michigan Ave
Dearborn, MI 48124-2204

Mailing address

PO Box 2044
Dearborn, MI 48123-2044
Phone (248) 387-9595

Other identifiers 1

IdentifierTypeStateIssuer
727688MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100505000926 MI Practitioner - Optometry 7517977903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22137 Michigan Ave
Dearborn, MI 48124-2204
Phone (313) 278-7336

3956 Whispering Way SE
Addington Place Assisted Living
Grand Rapids, MI 49546-5804
Phone (616) 949-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1176AZMDOptometrist
4901004506MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Eye Care, LLC Optometrist CurrentSince Sep 1, 2010 Accepting new patients

Locations

22137 Michigan Ave
Dearborn, MI 48124
Phone (248) 387-9595

25350 W Warren St
Dearborn Hts, MI 48127
Phone (313) 563-2020

50505 Schoenherr Rd
Ste 110
Shelby Township, MI 48315
Phone (586) 803-3152

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1275503856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2044",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481232044",
            "telephone_number": "248-387-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22137 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242204",
            "telephone_number": "248-387-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHAB",
        "first_name": "BASEEM",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1176",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "727688",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.