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GREAT LAKES EYE SURGERY CENTER LLC
NPI 1073798211
Clinic/Center - Ambulatory Surgical in Saginaw, MI

Active since January 07, 2008CLIA 23D1059394 · Waiver
2393 SCHUST RD, SAGINAW, MI 48603(989) 793-2820(989) 793-9132 Get Directions Write a Review

NPPES record last updated: January 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Lakes Eye Surgery Center Llc NPPES

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

GREAT LAKES EYE SURGERY CENTER LLC (NPI 1073798211) is a healthcare organization registered as an ambulatory surgical in Saginaw, Michigan and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through September 27, 2026 and lists Farhad Shokoohi, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1073798211
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGREAT LAKES EYE SURGERY CENTER LLC
Location Address2393 SCHUST RDSaginaw, MI 48603-1334
Mailing Address2393 Schust RdSaginaw, MI 48603-1334 · (989) 793-2820 · Fax (989) 793-9132
Phone(989) 793-2820
Fax(989) 793-9132
Organization SubpartNo
Authorized OfficialFarhad ShokoohiMd/owner · (989) 793-2820
Enumeration DateJanuary 7, 2008
✔ NPI 1073798211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in MI · 4301040619
2393 SCHUST RD, Saginaw, MI 48603
Open in Google Maps ↗

Other Identifiers 1

Other0G31248Blue Care Network

CLIA Laboratory Certificates CMS CLIA

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 23D1059394

Great Lakes Eye Surgery Center · Saginaw, MI
Active · expires Sep 27, 2026
CLIA Number23D1059394
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 28, 2024
Certificate Expiration DateSeptember 27, 2026
Laboratory DirectorFarhad K. Shokoohi
Laboratory Phone(989) 793-2820
Laboratory LocationGreat Lakes Eye Surgery Center2393 Schust Road, Saginaw, MI 48603
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

GREAT LAKES EYE INSTITUTE
Ophthalmology
2393 SCHUST RD
SAGINAW, MI 48603
Saginaw County (989) 793-2820
JOHN M OGRADY MD
Ophthalmology
2393 SCHUST RD
SAGINAW, MI 48603
Saginaw County (989) 793-2820
GREAT LAKES EYE SURGERY LLC
Nurse Anesthetist, Certified Registered
2393 SCHUST RD
SAGINAW, MI 48603
Saginaw County (734) 241-3891
GREAT LAKES EYE SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
2393 SCHUST RD
SAGINAW, MI 48603
Saginaw County (989) 793-2820
FARHAD K SHOKOOHI MD
Ophthalmology
2393 SCHUST RD, GREAT LAKES EYE INSTITUTE
SAGINAW, MI 48603
Saginaw County (989) 793-2820
JENNIFER LYNN SMALLEY-HUBER O.D.
Optometrist
2393 SCHUST RD
SAGINAW, MI 48603
Saginaw County (989) 793-2820
NICHOLAS DAVID SHOKOOHI M.D.
Ophthalmology
2393 SCHUST RD
SAGINAW, MI 48603
Saginaw County (989) 793-2820
DR. DONALD BART DARNELL OD
Optometrist
2393 SCHUST RD
SAGINAW, MI 48603
Saginaw County (989) 793-2820

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 Surgery Center LLC's NPI number?

The NPI number for Great Lakes Eye Surgery Center LLC is 1073798211. It was assigned to this organization in the NPPES registry on January 7, 2008.

Where is Great Lakes Eye Surgery Center LLC located?

Great Lakes Eye Surgery Center LLC is located at 2393 Schust Rd, Saginaw, MI 48603. The listed phone number is (989) 793-2820.

What is Great Lakes Eye Surgery Center LLC's specialty?

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

Does Great Lakes Eye Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1059394) is associated with this NPI, valid through September 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Great Lakes Eye Surgery Center LLC was last updated on January 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.