OrganizationShelby Macomb Vision Associates IncOptometristEye and Vision Services ProvidersPractice Address50505 Schoenherr Rd, Ste 110, Shelby Township, MI 48315-3140(586) 806-9333PECOS EnrollmentBased on the most recent information from CMS, provider Shelby Macomb Vision Associates Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1104171602Provider TypeOrganizationFull NameShelby Macomb Vision Associates IncSubpartNoEnumeration Date7/20/2012Last Updated7/20/2012Contact InformationPractice LocationPractice Address50505 Schoenherr Rd, Ste 110, Shelby Township, MI 48315-3140Phone(586) 806-9333FaxUnlisted FaxMailing LocationMailing Address50505 Schoenherr Rd, Ste 110, Shelby Township, MI 48315-3140Phone(586) 806-9333FaxUnlisted FaxAuthorized OfficialNameWahab, Baseem (Managing Optometrist)Phone(586) 806-9333Provider TaxonomiesCodeDescriptionLicenseCode152W00000XPrimaryDescriptionOptometristEye and Vision Services ProvidersLicense4901004569Michigan