GREAT LAKES EYE INSTITUTE (NPI# 1841474772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841474772 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES EYE INSTITUTE |
| Practice Address |
406 W Genesee St Frankenmuth MI 48734-1311 |
| Mailing Address |
2393 Schust Rd Saginaw MI 48603-1334 |
| Practice Telephone | 9896522020 |
| Practice Fax Number | 9896529444 |
| Mailing Telephone | 9897932820 |
| Mailing Fax Number | 9897939132 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2018-01-23 |
| Authorized Official Name | FARHAD SHOKOOHI (OWNER/MD) |
| Authorized Official Telephone | 9897932820 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | 4301040619 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437823 | Great Lakes Eye Institute | Ophthalmology | 800 Woodside Ave, Bay City, MI 48708-5468 | 2020-05-04 |
| 1447434378 | Great Lakes Eye Institute | Optometrist | 4624 Hill St, Cass City, MI 48726-1119 | 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 |
406 W GENESEE ST |
| City | FRANKENMUTH |
| State | MI |
| Zip Code | 48734-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659837904 | Payton M Malochleb | Chiropractor | 143 W. Genesee Street, Frankenmuth, MI 48734 | 2019-02-12 |
| 1932588746 | Kimberly Dawn Pezo | Physical Therapy Assistant | 500 W Genesee, Tendercare Health Center of Frankenmuth, Frankenmuth, MI 48734 | 2015-05-26 |
| 1184053266 | Mark Sanders | Physical Therapy Assistant | 500 West Genesee, Frankenmuth, MI 48734 | 2013-11-08 |
| 1396171310 | Deirdra White | Counselor | 401 Queens Creek Dr W, Frankenmuth, MI 48734 | 2013-09-23 |
| 1285928028 | Lisa C Rau | Physical Therapist | 193 E. Jefferson St., Frankenmuth, MI 48734 | 2011-06-08 |
| 1558456053 | Lutheran Home Care Agency, Inc. | Home Health | 9710 Junction Road - Suite A, Frankenmuth, MI 48734 | 2006-10-03 |
| 1932165966 | Cobblers Bench of Frankenmuth LLC | Prosthetic/Orthotic Supplier | 995 S Main St, Frankenmuth, MI 48734 | 2006-04-26 |
| 1477034668 | Stacey Lynn Crites | Occupational Therapist | 725 W Genesee St, Frankenmuth, MI 48734 | 2018-08-24 |
| 1982611216 | Shannon April Brown | Occupational Therapist | 725 W Genesee St, Frankenmuth, MI 48734 | 2006-08-01 |
| 1841226131 | Scott E. Beasecker | Family Medicine | 506 N Franklin St, Frankenmuth, MI 48734-1000 | 2006-06-25 |
| Find all providers in zip 48734 | ||||
| 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 |
|---|---|---|---|---|
| 1649894429 | Ryan Freedman | Ophthalmology | 2250 Providence Dr., 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-08 |
| 1457973018 | Neha Gupta | Ophthalmology | 1134 Woburn Grn, Bloomfield Hills, MI 48302-2300 | 2020-05-17 |
| 1003437823 | Great Lakes Eye Institute | Ophthalmology | 800 Woodside Ave, Bay City, MI 48708-5468 | 2020-05-04 |
| 1447899273 | Legacy Eye Institute Plc | Ophthalmology | 811 East Street, Lapeer, MI 48446-3033 | 2019-12-26 |
| 1013471515 | Marshall Ophthalmology, Pllc | Ophthalmology | 16468 Emily Corlett, Marshall, MI 49068-8323 | 2019-01-29 |
| 1023583564 | Rochester Ophthalmology, Pllc | Ophthalmology | 1135 W University Dr Ste 155, Rochester, MI 48307-1871 | 2018-10-11 |
| 1205301983 | Grand Blanc Opthalmology | Ophthalmology | 123 South Westnedge Ave, Kalamazoo, MI 49007-6420 | 2018-10-09 |
| 1548756141 | Marko Habekovic Md, Pllc | Ophthalmology | 1000 E Paris Ave Se Ste 111, Grand Rapids, MI 49546-3680 | 2018-07-06 |
| 1487189254 | Yaldo Eye Centers PC | Ophthalmology | 31535 Ford Rd, Garden City, MI 48135-1821 | 2017-04-28 |
| 1366895005 | Black & White Look Optical Corp | Ophthalmology | 15675 W 10 Mile Rd, Southfield, MI 48075-2188 | 2016-07-18 |
| Find all providers with the same taxonomy | ||||
| City | FRANKENMUTH |
| Zip Code | 48734 |
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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.