GREAT LAKES EYE INSTITUTE (NPI# 1003437823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003437823 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES EYE INSTITUTE |
| Practice Address |
800 Woodside Ave Bay City MI 48708-5468 |
| Mailing Address |
2393 Schust Rd Saginaw MI 48603-1334 |
| Practice Telephone | 9897932820 |
| Practice Fax Number | 9897551463 |
| Mailing Telephone | 9897932820 |
| Mailing Fax Number | 9897551463 |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-05-04 |
| Authorized Official Name | MICHELE MARIE HEATH (CREDENTIALING) |
| Authorized Official Telephone | 9897932820 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1427090976 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447434378 | Great Lakes Eye Institute | Optometrist | 4624 Hill St, Cass City, MI 48726-1119 | 2007-12-27 |
| 1841474772 | Great Lakes Eye Institute | Optometrist | 406 W Genesee St, Frankenmuth, MI 48734-1311 | 2007-12-27 |
| 1346424272 | Great Lakes Eye Institute | Optometrist | 623 W Warwick Dr, Suite 1, Alma, MI 48801-1177 | 2007-12-27 |
| 1063680791 | Great Lakes Eye Institute | Optometrist | 2393 Schust Rd, Saginaw, MI 48603-1334 | 2008-02-15 |
| 1992985840 | Great Lakes Eye Institute | Optometrist | 2393 Schust Rd, Saginaw, MI 48603-1334 | 2007-11-08 |
| 1427090976 | Great Lakes Eye Institute | Ophthalmology | 2393 Schust Rd, Saginaw, MI 48603-1334 | 2006-06-11 |
| Street Address |
800 WOODSIDE AVE |
| City | BAY CITY |
| State | MI |
| Zip Code | 48708-5468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370399 | Francine Marie Dixon | Pharmacist | 1800 Columbus Ave Ste P, Bay City, MI 48708 | 2020-06-16 |
| 1417578261 | Kassie L Pagliughi | Counselor | 1100 N. Grant Street, Bay City, MI 48708 | 2020-05-04 |
| 1346711694 | Connie Lynn Mossner | Physical Therapy Assistant | 2112 16 Th Street, Ste 7, Bay City, MI 48708 | 2018-12-16 |
| 1275003766 | Great Lakes Bay Health Centers | Clinic/Center | 1821 Mckinley St, Bay City, MI 48708 | 2018-11-28 |
| 1891204970 | Ronald Lavern Polhill Jr. | Registered Nurse | 701 South Lincoln St., Bay City, MI 48708 | 2017-09-21 |
| 1447610001 | Jeffrey M Hunt | Nurse Practitioner | 714 S. Trumbull St., Bay City, MI 48708 | 2016-02-25 |
| 1457762437 | Asim Malik | Emergency Medicine | 1900 Columbus Ave # B203, Bay City, MI 48708 | 2014-05-13 |
| 1538584768 | Sarah R. Vanparis | Registered Nurse | 1010 N. Madison, Bay City, MI 48708 | 2014-02-25 |
| 1033549316 | Melissa Rood | Case Manager/Care Coordinator | 1001 Mulholland, Bay City, MI 48708 | 2013-11-22 |
| 1528498953 | Shannon Rae Ogg | Social Worker | 2110 16th St Ste 7, Bay City, MI 48708 | 2013-11-21 |
| Find all providers in zip 48708 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982862793 | Dennis Tibble | Ophthalmology | 202 Athlone Bch, Bay City, MI 48706-1121 | 2008-05-29 |
| 1912194754 | Valley Eye Care P.C. | Ophthalmology | 900 Center Ave, Lower Level, Bay City, MI 48708-6118 | 2007-09-25 |
| 1144350679 | Michael A Peggs Sr. | Ophthalmology | 1713 Merlin St, Bay City, TX 77414-3129 | 2007-03-06 |
| 1598872517 | John A Ley | Ophthalmology | 116 N Tuscola Rdq, Bay City, MI 48708-6961 | 2006-08-24 |
| 1235168915 | Bay Eye Care Center, PC | Ophthalmology | 116 N Tuscola Rd, Bay City, MI 48708-6961 | 2006-07-03 |
| 1154326239 | Clairann Marie Farr | Ophthalmology | 1862 Mckinley St, Bay City, MI 48708-6736 | 2005-06-16 |
| 1245235332 | Tim Hc Pan | Ophthalmology | 1601 Marquette St, Ste 1, Bay City, MI 48706-4196 | 2005-06-16 |
| 1740422419 | Leslie K Norris | Ophthalmology | 116 N Tuscola Rd, Bay City, MI 48708-6961 | 2009-03-27 |
| 1992954416 | Robert Wesley Graham | Ophthalmology | 116 N Tuscola Rd, Bay City, MI 48708-6961 | 2008-09-09 |
| 1205966736 | Michael A Peggs | Ophthalmology | 1713 Merlin St, Bay City, TX 77414-3129 | 2007-03-06 |
| Find all providers in BAY CITY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.