Great Lakes Eye Consultants Plc
LBN: Great Lakes Eye Consultants Plc
Great Lakes Eye Consultants Plc is an health care organization with primary practice located at 872 Munson Ave Suite B, Traverse City MI 49686. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty.
Great Lakes Eye Consultants Plc can be contacted via phone (231) 947-1690, or through Fedor, Peter via phone (231) 947-1690.
Contact Information
Primary practice address
872 Munson Ave Suite B
Traverse City MI 49686
Phone: (231) 947-1690
Fax: (231) 947-1692
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4301061885 | Michigan |
Profile Details
| NPI number | 1164552972 |
|---|---|
| LBN Legal business name | Great Lakes Eye Consultants Plc |
| DBA Doing business as | |
| Authorized official | Fedor, Peter Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | May 22nd, 2018 - about 6 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164552972 | NPPES |
| Michigan | MEDICAID | 104609642 | |
| Michigan | MEDICAID | 104609651 | |
| Michigan | MEDICAID | 104609660 | |
| Michigan | MEDICAID | 104609633 |
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