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GREAT LAKES EYE CARE
NPI 1114058369
Durable Medical Equipment & Medical Supplies in South Haven, MI

Active since March 08, 2007
570 BROADWAY ST, SOUTH HAVEN, MI 49090(269) 637-3101(269) 637-4000 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2023, Jul 21, 2022, Aug 25, 2021 (3 updates tracked since 2021).

About Great Lakes Eye Care NPPES

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

GREAT LAKES EYE CARE (NPI 1114058369) is a healthcare organization registered as a durable medical equipment & medical supplies in South Haven, Michigan and active in the NPI registry since March 2007. The organization lists Brenda S. Jacks, Human Resources, as its authorized official.

NPPES Registry Identity

NPI1114058369
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameGREAT LAKES EYE CARE, P.C.
Location Address570 BROADWAY STSouth Haven, MI 49090-1420
Mailing Address2848 Niles RdSaint Joseph, MI 49085-3352 · (269) 428-3300 · Fax (269) 428-5005
Phone(269) 637-3101
Fax(269) 637-4000
Organization SubpartYes
Authorized OfficialBrenda S. JacksHuman Resources · (269) 428-3300
Enumeration DateMarch 8, 2007
Last NPPES UpdateJanuary 26, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1114058369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
570 BROADWAY ST, South Haven, MI 49090
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Other Names 1

Doing Business AsGreat Lakes Eye Care

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 Care, P.C.'s NPI number?

The NPI number for Great Lakes Eye Care, P.C. is 1114058369. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Great Lakes Eye Care.

Where is Great Lakes Eye Care, P.C. located?

Great Lakes Eye Care, P.C. is located at 570 Broadway St, South Haven, MI 49090. The listed phone number is (269) 637-3101.

What is Great Lakes Eye Care, P.C.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Eye Care, P.C. was last updated on January 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.