Great Lakes Eye Care

LBN: Great Lakes Eye Care, P.C.
Great Lakes Eye Care is an health care organization with primary practice located at 570 Broadway St , South Haven MI 49090-1420. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Great Lakes Eye Care, P.C. can be contacted via phone (269) 637-3101, or through Jacks, Brenda S. via phone (269) 428-3300.

Contact Information

Primary practice address
570 Broadway St South Haven MI 49090-1420
Fax: (269) 637-4000
Website:
Authorized official contact:
Name: Jacks, Brenda S. B.S.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Michigan

Profile Details

NPI number 1114058369
LBN Legal business name Great Lakes Eye Care, P.C.
DBA Doing business as Great Lakes Eye Care
Authorized official Jacks, Brenda S. B.S.
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 8th, 2007
Last updated Jan 26th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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