Great Lakes Eye Institute

LBN: Great Lakes Eye Institute
Great Lakes Eye Institute is an health care organization with primary practice located at 2393 Schust Rd , Saginaw MI 48603-1334. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is the primary health care specialty. Great Lakes Eye Institute can be contacted via phone (989) 793-2820, or through Shokoohi, Farhad Kayvan via phone (989) 793-2820.

Contact Information

Primary practice address
2393 Schust Rd Saginaw MI 48603-1334
Phone: (989) 793-2820
Fax: (989) 793-9132
Website:
Map and Directions
Authorized official contact:
Name: Shokoohi, Farhad Kayvan Doctor of Medicine (MD)
Phone: (989) 793-2820

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 43010040619 Michigan
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 4301102705 Michigan

Profile Details

NPI number 1427090976
LBN Legal business name Great Lakes Eye Institute
DBA Doing business as
Authorized official Shokoohi, Farhad Kayvan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Jan 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427090976 NPPES
Michigan Other 180G300890 FEDERAL EMPLOYEES PROGRAM BLUE CROSS
Michigan Other 180G300890 FEDERAL EMPLOYEES PROGRAM BLUE CROSS
Michigan Other 180G300890 FEDERAL EMPLOYEES PROGRAM BLUE CROSS
Michigan Other 0G36036 FEDERAL EMPLOYEES PROGRAM BLUE CROSS
Michigan Other CA3610 FEDERAL EMPLOYEES PROGRAM BLUE CROSS

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