Great Lakes Eye Institute
LBN: Great Lakes Eye Institute
Great Lakes Eye Institute is an health care organization with primary practice located at 2393 Schust Rd , Saginaw MI 48603-1334. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Great Lakes Eye Institute can be contacted via phone (989) 793-2820, or through Shokoohi, Farhad K via phone (989) 793-2820.
Contact Information
Primary practice address
2393 Schust Rd
Saginaw MI 48603-1334
Phone: (989) 793-2820
Fax: (989) 793-9132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4301040619 | Michigan |
Profile Details
| NPI number | 1063680791 |
|---|---|
| LBN Legal business name | Great Lakes Eye Institute |
| DBA Doing business as | |
| Authorized official | Shokoohi, Farhad K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 15th, 2008 |
| Last updated | Jan 23rd, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063680791 | NPPES |
| Michigan | Other | 180G300890 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | CA3610 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 0N11610 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 180G300890 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 0G36036 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 180G310710 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 180G310710 | BLUE CROSS BLUE SHIELD |
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