GREAT LAKES EYE INSTITUTE – NPI #1992985840
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.

GREAT LAKES EYE INSTITUTE is an ophthalmologist located in SAGINAW, MI. NPPES has assigned the NPI number 1992985840 to GREAT LAKES EYE INSTITUTE on November 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 8 years ago on Aug 17, 2018. 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 INSTITUTE below.

NPI Profile for
GREAT LAKES EYE INSTITUTE

NPI Number
1992985840
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 INSTITUTE
Primary location
2393 SCHUST RD
SAGINAW, MI 48603-1334
Phone: (989) 793-2820 Fax: (989) 793-9132
1 Other location(s):
407 W Wackerly St
Midland, MI 48640-4727
Phone: (989) 631-1345
Fax: (989) 631-5129
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 INSTITUTE

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
OTHERGROUP NPIMI1427090976
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
207W00000X
- Ophthalmology (Primary)
MI 4301040619
152W00000X
- Optometrist
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.