Dry Eye Healing Institute
Optometrist in West Bloomfield, MI. Organization (NPI-2).
NPI number1124462452
StatusActive
Last updated in NPPESNov 24, 2025
Details
- NPI
- 1124462452
- Entity type
- Organization (NPI-2)
- Legal business name
- Dry Eye Healing Institute
- Organization subpart
- No
- Enumeration date
- Apr 17, 2013
- Certification date
- Nov 24, 2025
- Last updated
- Nov 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4901004524 | MI | Yes |
Other names
- Dry Eye Healing Institute (Doing Business As)
Practice location
5600 W Maple Rd Ste A120West Bloomfield, MI 48322-3782
Phone 248-413-8030
Mailing address
5600 W Maple Rd Ste A120West Bloomfield, MI 48322-3782
Phone 248-847-3372 · Fax 248-243-8963
Authorized official
Jennifer Jane Shaba
Doctor
2488473372
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