GREAT LAKES EYE SURGERY CENTER LLC – NPI #1073798211
Clinic/Center

GREAT LAKES EYE SURGERY CENTER LLC is an AHC clinic located in SAGINAW, MI. NPPES has assigned the NPI number 1073798211 to GREAT LAKES EYE SURGERY CENTER LLC on January 07, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREAT LAKES EYE SURGERY CENTER LLC below.

NPI Profile for
GREAT LAKES EYE SURGERY CENTER LLC

NPI Number
1073798211
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREAT LAKES EYE SURGERY CENTER LLC
Primary location
2393 SCHUST RD
SAGINAW, MI 48603-1334
Phone: (989) 793-2820 Fax: (989) 793-9132
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FARHAD SHOKOOHI
MD/OWNER
Phone: (989) 793-2820
Updated
Identifiers

Identifiers for GREAT LAKES EYE SURGERY CENTER LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CARE NETWORK0G31248
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 MI 4301040619

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.