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GREAT LAKES EYE INSTITUTE NPI 1063680791


NPI Information

NPI: 1063680791
Provider Name: GREAT LAKES EYE INSTITUTE
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
2393 SCHUST RD
SAGINAW, MI
ZIP 48603
Phone: (989) 793-2820
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GREAT LAKES EYE INSTITUTE is an ophthalmology in Saginaw, MI. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. GREAT LAKES EYE INSTITUTE NPI is 1063680791. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2393 SCHUST RD
SAGINAW, MI
ZIP 48603-334
Phone: (989) 793-2820
Fax: (989) 793-9132

The provider's authorized official is Farhad K Shokoohi .
The authorized official title is Owner/md and has the following contact phone number (989) 793-2820.

The enumeration date for this NPI number is 2/15/2008 and was last updated on 1/23/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2207W00000XOphthalmology4301040619MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1180G300890OTHERMICHIGANBLUE CARE NETWORK
20G36036OTHERMEDICARE
3180G300890OTHERMICHIGANBLUE CROSS BLUE SHIELD
40N11610OTHERMEDICARE
5180G310710OTHERMICHIGANBLUE CARE NETWORK
6180G310710OTHERMICHIGANBLUE CROSS BLUE SHIELD
7CA3610OTHERRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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