Great Lakes Eye Surgery Center Llc

LBN: Great Lakes Eye Surgery Center Llc
Great Lakes Eye Surgery Center Llc is an health care organization with primary practice located at 2393 Schust Rd , Saginaw MI 48603-1334. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Great Lakes Eye Surgery Center Llc 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:
Map and Directions
Authorized official contact:
Name: Shokoohi, Farhad K Doctor of Medicine (MD)
Phone: (989) 793-2820

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1265542849
LBN Legal business name Great Lakes Eye Surgery Center Llc
DBA Doing business as
Authorized official Shokoohi, Farhad K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 12th, 2007 - about 19 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 1265542849 NPPES
Michigan Other 0G31248 BLUE CROSS

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