GREAT LAKES EYE SURGERY CENTER LLC (NPI# 1073798211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073798211 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES EYE SURGERY CENTER LLC |
| Practice Address |
2393 Schust Rd Saginaw MI 48603-1334 |
| Practice Telephone | 9897932820 |
| Practice Fax Number | 9897939132 |
| Mailing Telephone | 9897932820 |
| Mailing Fax Number | 9897939132 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |
| Authorized Official Name | FARHAD SHOKOOHI (MD/OWNER) |
| Authorized Official Telephone | 9897932820 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
4301040619 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CARE NETWORK | 0G31248 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265542849 | Great Lakes Eye Surgery Center LLC | Clinic/Center | 2393 Schust Rd, Saginaw, MI 48603-1334 | 2006-08-30 |
| Street Address |
2393 SCHUST RD |
| City | SAGINAW |
| State | MI |
| Zip Code | 48603-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961556 | Brian D. Dudenhoefer | Ophthalmology | 2393 Schust Rd, Saginaw, MI 48603-1334 | 2005-06-08 |
| 1295180214 | Nicholas David Shokoohi | Ophthalmology | 2393 Schust Rd, Saginaw, MI 48603-1334 | 2016-04-27 |
| 1528329489 | Victoria Ayn Williams | Ophthalmology | 2393 Schust Rd, Saginaw, MI 48603-1334 | 2012-06-06 |
| 1699939751 | Kristine Marie Weaver | Optometrist | 2393 Schust Rd, Saginaw, MI 48603-1334 | 2008-07-17 |
| 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 |
| 1265542849 | Great Lakes Eye Surgery Center LLC | Clinic/Center | 2393 Schust Rd, Saginaw, MI 48603-1334 | 2006-08-30 |
| 1689685463 | Moonyoung S Chung | Ophthalmology | 2393 Schust Rd, Saginaw, MI 48603-1334 | 2006-08-10 |
| 1780602763 | Scott M Vandenbelt | Ophthalmology | 2393 Schust Rd, Saginaw, MI 48603-1334 | 2006-07-17 |
| 1427090976 | Great Lakes Eye Institute | Ophthalmology | 2393 Schust Rd, Saginaw, MI 48603-1334 | 2006-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503952 | Kimberly Michelle Cole | Social Worker | 2823 Pimlico Ln, Saginaw, MI 48603 | 2019-11-20 |
| 1669035895 | Kristine Anna Roberts | Massage Therapist | 3175 Christy Way 8, Saginaw, MI 48603 | 2019-04-14 |
| 1114413069 | Sabrina Shunnarah | Behavioral Analyst | 3267 Schust Road, Apt. 101, Saginaw, MI 48603 | 2018-07-03 |
| 1740708528 | Alexandra Jennette Hengy | Student in an Organized Health Care Education/Training Program | 4287 Harbour Towne Dr Apt. 6, Saginaw, MI 48603 | 2017-08-31 |
| 1003345380 | Karissa Irene Piar | Social Worker | 2100 Hemmeter Rd., Saginaw, MI 48603 | 2017-06-08 |
| 1922537281 | Anita Rick | Behavior Technician | 3949 N. River Road, Freeland, Mi 48623, Freeland, MI 48603 | 2017-06-08 |
| 1417300393 | Saginaw County Community Mental Health Authority | In Home Supportive Care | 3875 Bay Rd., Saginaw, MI 48603 | 2016-07-15 |
| 1992154009 | Tricity Diagnostics, LLC | Physiological Laboratory | 3055 Enterprise Drive, Suite 2, Saginaw, MI 48603 | 2016-06-09 |
| 1659744571 | Janet Lee Smith | Social Worker | 4341 Barnard Rd, Saginaw, MI 48603 | 2015-11-02 |
| 1255656757 | Joseph Edward Chmielewski | Chiropractor | 4266 State St., Saginaw, MI 48603 | 2010-03-29 |
| Find all providers in zip 48603 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467544684 | Towne Centre Surgery Center, LLC | Clinic/Center | 4599 Towne Centre Road, Saginaw, MI 48604 | 2006-09-28 |
| 1780747733 | Mackinaw Surgery Center LLC | Clinic/Center | 5400 Mackinaw Rd, Saginaw, MI 48604 | 2006-12-19 |
| 1265542849 | Great Lakes Eye Surgery Center LLC | Clinic/Center | 2393 Schust Rd, Saginaw, MI 48603-1334 | 2006-08-30 |
| 1124071550 | Andersen Eye Surgery Center, LLC | Clinic/Center | 5161 Cardinal Park Drive, Saginaw, MI 48604 | 2006-05-18 |
| 1326091513 | Pain Treatment Centers of Michigan LLC | Clinic/Center | 4450 Fashion Square Blvd, Ste 200, Saginaw, MI 48603-1251 | 2006-05-18 |
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| 1992339147 | Movi Asc Management LLC | Clinic/Center | 5250 Auto Club Drive, Suite 170, Dearborn, MI 48126-2619 | 2020-02-26 |
| 1609409929 | Firestone Procedure Center LLC | Clinic/Center | 4520 Firestone St Ste C, Dearborn, MI 48126-4602 | 2020-02-14 |
| 1255972113 | Center Health Surgery Center LLC | Clinic/Center | 30671 Stephenson Hwy Ste F, Madison Heights, MI 48071-1635 | 2019-10-02 |
| 1942851639 | Northern Michigan Surgical Suites, LLC | Clinic/Center | 825 Moll Dr, Boyne City, MI 49712-9182 | 2019-09-24 |
| 1699328146 | Alliance Surgery Center, LLC | Clinic/Center | 3663 North Country Drive, Traverse City, MI 49684-4587 | 2019-07-23 |
| 1407313802 | Spectrum Health Hospitals | Clinic/Center | 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 | 2019-02-22 |
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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.