MI GREAT LAKES EYECARE, PC
NPI 1053902494
Optometrist in Grosse Pointe, MI

Q: What is Mi Great Lakes Eyecare, PC's NPI number?

The NPI number for Mi Great Lakes Eyecare, PC is 1053902494. It was assigned to this organization in the NPPES registry on January 28, 2021.

Q: What is Mi Great Lakes Eyecare, PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since January 28, 2021

12 DONOVAN PL, GROSSE POINTE, MI 48230(646) 241-0810 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mi Great Lakes Eyecare, Pc NPPES

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

MI GREAT LAKES EYECARE, PC (NPI 1053902494) is a healthcare organization registered as an optometrist in Grosse Pointe, Michigan and active in the NPI registry since January 2021. The organization lists Elizabeth R. Borowiec, Optometrist/owner, as its authorized official.

NPPES Registry Identity

NPI1053902494

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameMI GREAT LAKES EYECARE, PC

Location Address12 DONOVAN PLGrosse Pointe, MI 48230-1935

Mailing Address12 Donovan PlGrosse Pointe, MI 48230-1935 · (646) 241-0810

Phone(646) 241-0810

Organization SubpartNo

Authorized OfficialElizabeth R. BorowiecOptometrist/owner · (646) 241-0810

Enumeration DateJanuary 28, 2021

NPPES CertifiedJanuary 28, 2021

✔ NPI 1053902494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedSkilled Nursing FacilityTaxonomy 314000000X

12 DONOVAN PL, Grosse Pointe, MI 48230

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mi Great Lakes Eyecare, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mi Great Lakes Eyecare, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Elizabeth Borowiec, O.D

Optometry

NPI 1558565184

232 E 118TH ST PH B
New York, NY 10035

(646) 241-0810

✔ PECOS✔ Accepts Medicare477 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mi Great Lakes Eyecare, PC's NPI number?

The NPI number for Mi Great Lakes Eyecare, PC is 1053902494. It was assigned to this organization in the NPPES registry on January 28, 2021.

Where is Mi Great Lakes Eyecare, PC located?

Mi Great Lakes Eyecare, PC is located at 12 Donovan Pl, Grosse Pointe, MI 48230. The listed phone number is (646) 241-0810.

What is Mi Great Lakes Eyecare, PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mi Great Lakes Eyecare, PC enrolled in Medicare?

Yes. Mi Great Lakes Eyecare, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mi Great Lakes Eyecare, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Mi Great Lakes Eyecare, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mi Great Lakes Eyecare, PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mi Great Lakes Eyecare, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mi Great Lakes Eyecare, PC was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.