GREAT LAKES EYE SURGERY CENTER LLC NPI 1265542849

NPI Information

GREAT LAKES EYE SURGERY CENTER LLC is an ambulatory surgical clinic center in Saginaw, MI. GREAT LAKES EYE SURGERY CENTER LLC NPI is 1265542849. The provider is registered as an organization entity type.

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 and has the following contact phone number (989) 793-2820.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 10/12/2007.

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:

Other Identifiers

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