GREAT LAKES EYE INSTITUTE
NPI 1063680791
Ophthalmology in Saginaw, MI
About Great Lakes Eye Institute NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT LAKES EYE INSTITUTE (NPI 1063680791) is a healthcare organization registered as an ophthalmology in Saginaw, Michigan and active in the NPI registry since February 2008. The organization lists Farhad K Shokoohi, Owner/md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 7
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Great Lakes Eye Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Great Lakes Eye Institute, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Saginaw, MI 48603
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 Great Lakes Eye Institute's NPI number?
The NPI number for Great Lakes Eye Institute is 1063680791. It was assigned to this organization in the NPPES registry on February 15, 2008.
Where is Great Lakes Eye Institute located?
Great Lakes Eye Institute is located at 2393 Schust Rd, Saginaw, MI 48603. The listed phone number is (989) 793-2820.
What is Great Lakes Eye Institute's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Great Lakes Eye Institute enrolled in Medicare?
Yes. Great Lakes Eye Institute is registered in the Medicare PECOS enrollment system.
When is Great Lakes Eye Institute's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Great Lakes Eye Institute?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Great Lakes Eye Institute. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Great Lakes Eye Institute accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Great Lakes Eye Institute 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 Great Lakes Eye Institute was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Great Lakes Eye Institute · NPI 1063680791
Ophthalmology organization in Saginaw, Michigan. Organization record, active in the CMS NPPES registry since February 15, 2008.
## Identity
- **NPI:** 1063680791 (Entity type: Organization)
- **Enumerated:** February 15, 2008
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Farhad Shokoohi, OWNER/MD
## Practice location
- **Address:** 2393 SCHUST RD, Saginaw, MI 48603-1334
- **Phone:** (989) 793-2820 · **Fax:** (989) 793-9132
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2025
- **Other identifiers:** Other 180G300890 (MI); Other CA3610; Other 0N11610; and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1063680791) · Data from the CMS NPPES public registry.