Great Lakes Eye Care

LBN: Great Lakes Eye Care Pc
Great Lakes Eye Care is an health care organization with primary practice located at 2848 Niles Rd , Saint Joseph MI 49085-3352. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Great Lakes Eye Care Pc can be contacted via phone (269) 428-3300, or through Cooke, David Locke via phone (269) 428-3300.

Contact Information

Primary practice address
2848 Niles Rd Saint Joseph MI 49085-3352
Phone: (269) 428-3300
Fax: (269) 428-5005
Website:
Map and Directions
Authorized official contact:
Name: Cooke, David Locke Doctor of Medicine (MD)
Phone: (269) 428-3300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301046231 Michigan

Profile Details

NPI number 1922002708
LBN Legal business name Great Lakes Eye Care Pc
DBA Doing business as Great Lakes Eye Care
Authorized official Cooke, David Locke Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2005
Last updated Jan 26th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922002708 NPPES
Michigan MEDICAID 1878128

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