Organization Active NPI

Basha Eye Group PC

  • Ophthalmology Physician
  • Warren, MI
National Provider Identifier
1629332408
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BASHA EYE GROUP PC
Practice address
27450 Schoenherr Rd
Suite 200
Warren, MI 48088-6683
Phone
(248) 935-9280
Fax
(248) 282-5230
NPI assigned
Jun 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Mahdi Basha, DO
Title
Owner
Phone
(248) 935-9280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

27450 Schoenherr Rd
Suite 200
Warren, MI 48088-6683

Mailing address

7032 Kendal St
Dearborn, MI 48126-1854
Phone (248) 935-9280

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1629332408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7032 KENDAL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261854",
            "telephone_number": "248-935-9280",
            "fax_number": "248-282-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27450 SCHOENHERR RD",
            "address_2": "SUITE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886683",
            "telephone_number": "248-935-9280",
            "fax_number": "248-282-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASHA EYE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "BASHA",
        "authorized_official_first_name": "MAHDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-935-9280",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.