GREAT LAKES EYE SURGERY CENTER LLC NPI 1265542849

NPI Information

  • NPI: 1265542849
  • Provider Name: GREAT LAKES EYE SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 2393 SCHUST RD
    SAGINAW, MI
    ZIP 48603
  • Phone: (989) 793-2820

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NPI Details

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Destruction of leaking blood vessels of retina using laser (HCPCS:67228)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Removal of membrane of retina (HCPCS:67041)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Photocoagulation treatment to prevent detachment of retina (HCPCS:67145)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10G31248OTHERMICHIGANBLUE CROSS
20P42910MEDICARE PINMICHIGAN

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: 11/21/2025

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