Active NPI
Baseem Wahab
- Optometrist
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004506
- Practice address
- 22137 Michigan Ave
Dearborn, MI 48124-2204 - Phone
- (248) 387-9595
- NPI assigned
- Jan 25, 2006
- Last updated
- Aug 7, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 727688 | Medicaid | AZ |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1176 | AZ | MD | Optometrist |
| 4901004506 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Eye Care, LLC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.