GREAT LAKES SURGERY CENTER LLC
NPI 1003273129
Clinic/Center - Ambulatory Surgical in Saint Joseph, MI

Q: What is Great Lakes Surgery Center LLC's NPI number?

The NPI number for Great Lakes Surgery Center LLC is 1003273129. It was assigned to this organization in the NPPES registry on January 20, 2016.

Q: What is Great Lakes Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since January 20, 2016CLIA Certified · 3 labs

2848 NILES RD, SUITE B, SAINT JOSEPH, MI 49085(269) 428-3304 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2021, Mar 22, 2017, Feb 2, 2017 and 1 more (4 updates tracked since 2016).

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About Great Lakes Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES SURGERY CENTER LLC (NPI 1003273129) is a healthcare organization registered as an ambulatory surgical in Saint Joseph, Michigan and active in the NPI registry since January 2016. The organization holds 3 active CLIA laboratory certificates and lists David N. Brown, Manager Member, as its authorized official.

NPPES Registry Identity

NPI1003273129

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameGREAT LAKES SURGERY CENTER LLC

Location Address2848 NILES RD, SUITE BSaint Joseph, MI 49085-3352

Mailing Address2848 Niles Rd, Suite BSaint Joseph, MI 49085-3352 · (269) 428-3304

Phone(269) 428-3304

Organization SubpartNo

Authorized OfficialDavid N. BrownManager Member · (269) 428-3300

Enumeration DateJanuary 20, 2016

Last NPPES UpdateNovember 12, 20214 updates tracked since enumeration

NPPES CertifiedNovember 12, 2021

✔ NPI 1003273129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

Also ListedClinic/Center · Ophthalmologic SurgeryTaxonomy 261QS0132X

2848 NILES RD, Saint Joseph, MI 49085

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2109951

Great Lakes Surgery Center, LLC · Saint Joseph, MI

Active · expires Mar 6, 2028

CLIA Number23D2109951

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 7, 2026

Certificate Expiration DateMarch 6, 2028

Laboratory DirectorDavid N. Brown

Laboratory Phone(269) 428-3304

Laboratory LocationGreat Lakes Surgery Center, LLC2848 Niles Road Suite B, Saint Joseph, MI 49085

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D1090689

Great Lakes Eye Care · Saint Joseph, MI

Active · expires Oct 15, 2026

CLIA Number23D1090689

Laboratory TypePhysician Office

Certificate Effective DateOctober 16, 2024

Certificate Expiration DateOctober 15, 2026

Laboratory DirectorDavid L. Cooke

Laboratory Phone(269) 428-3300

Laboratory LocationGreat Lakes Eye Care2848 Niles Road, Saint Joseph, MI 49085

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2095167

Great Lakes Eye Care · Niles, MI

Active · expires Apr 30, 2027

CLIA Number23D2095167

Laboratory TypePhysician Office

Certificate Effective DateMay 1, 2025

Certificate Expiration DateApril 30, 2027

Laboratory DirectorDavid L. Cook

Laboratory Phone(269) 428-3300

Laboratory LocationGreat Lakes Eye Care120 Longmeadow Village Drive, Niles, MI 49120

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

1,001 services602 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

363 services296 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

81 services42 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

68 services46 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

65 services48 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

40 services31 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

34 services23 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

22 services20 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

21 services18 patients

Repair of tendon of upper eyelid 67904

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

19 services11 patients

Insertion of eye fluid drainage device 66183

The insertion of an eye fluid drainage device is a procedure to manage eye pressure. A small device is placed in the eye to help drain excess fluid, reducing pressure that can damage the optic nerve and lead to vision loss. This procedure is often used for glaucoma treatment.

16 services16 patients

Exchange of prosthetic lens 66986

An exchange of a prosthetic lens involves replacing an artificial lens in your eye. This is often done if the current lens isn't functioning properly or causing discomfort. The procedure involves removing the old lens and inserting a new one, aiming to improve your vision.

16 services16 patients

Extensive repair of turning-outward eyelid defect 67917

This procedure corrects an eyelid defect where the eyelid turns outward, exposing the eye. The extensive repair involves surgical techniques to reshape the eyelid and ensure it functions properly. This helps protect the eye and improve comfort.

16 services11 patients

Removal of growth of eyelid 67840

The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.

14 services12 patients

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Optical Fashions carries, from the Medicare DMEPOS supplier directory.

Optical Fashions

DMEPOS supplier · Saint Joseph, MIOperated by Great Lakes Eye Care PC

✔

Accepts Medicare assignment

Optical Fashions agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20667467

Medicare Participant SinceJuly 1, 1996

Supplier Location2848 Niles RdSaint Joseph, MI 49085

Phone(269) 428-3300

Provider TypePhysician – Ophthalmology

Supplier Specialties

Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses

Conventional Eyeglasses

Prosthetic Lenses: Conventional Contact Lenses

Conventional Contact Lenses

Prosthetic Lenses: Prosthetics Cataract Lenses

Cataract Eyeglasses

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BENJAMIN P NICHOLSON M.D., M.A.

Ophthalmology (Retina Specialist)