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MONROE VISION SOURCE, PLC
NPI 1174920748
Clinic/Center in Monroe, MI

Active since November 26, 2014CLIA 23D2125383 · Waiver
750 STEWART RD, MONROE, MI 48162(734) 242-8630 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Monroe Vision Source, Plc NPPES

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

MONROE VISION SOURCE, PLC (NPI 1174920748), doing business as Donahue Eyecare, is a healthcare organization registered as a clinic/center in Monroe, Michigan and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists James D Hardie, Owner, as its authorized official.

NPPES Registry Identity

NPI1174920748
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMONROE VISION SOURCE, PLC
Location Address750 STEWART RDMonroe, MI 48162-4291
Mailing Address750 Stewart RdMonroe, MI 48162-4291 · (734) 242-5157
Phone(734) 242-8630
Organization SubpartNo
Authorized OfficialJames D HardieOwner · (734) 212-5157
Enumeration DateNovember 26, 2014
Last NPPES UpdateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
✔ NPI 1174920748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
750 STEWART RD, Monroe, MI 48162
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Other Names 2

Doing Business AsDonahue Eyecare
Doing Business AsGreat Lakes Vision Care

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 ›

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 23D2125383

Monroe Vision Source, Plc Dba Great Lakes Vision Care · Monroe, MI
Active · expires Feb 6, 2027
CLIA Number23D2125383
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorJames D. Hardie
Laboratory Phone(734) 242-8630
Laboratory LocationMonroe Vision Source, Plc Dba Great Lakes Vision Care750 Steward Road Suite 2, Monroe, MI 48162
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Great Lakes Vision Care carries, from the Medicare DMEPOS supplier directory.

Great Lakes Vision Care

DMEPOS supplier · Monroe, MIOperated by Monroe Vision Source
✔

Accepts Medicare assignment

Great Lakes Vision Care 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)20485391
Medicare Participant SinceJanuary 3, 2015
Supplier Location750 Stewart Rd Ste 2Monroe, MI 48162
Phone(734) 242-8630
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
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 5

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

CHRISTOPHER A BURGESS O.D., MPH
Optometrist
750 STEWART RD, SUITE #2
MONROE, MI 48162
Monroe County (734) 242-8630
MEDICAL ARTS EYE CARE PC
Eyewear Supplier
750 STEWART RD, SUITE #2
MONROE, MI 48162
Monroe County (734) 242-8630
MEDICAL ARTS EYE CARE PC
Optometrist
750 STEWART RD, SUITE 2
MONROE, MI 48162
Monroe County (734) 242-8630
MONROE COMMUNITY HEALTH SERVICES
Nurse Anesthetist, Certified Registered
750 STEWART RD
MONROE, MI 48162
Monroe County (734) 240-1900
MONROE COMMUNITY HEALTH SERVICES
Clinic/Center (Ambulatory Surgical)
750 STEWART RD
MONROE, MI 48162
Monroe County (734) 240-1900

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 Monroe Vision Source, Plc's NPI number?

The NPI number for Monroe Vision Source, Plc is 1174920748. It was assigned to this organization in the NPPES registry on November 26, 2014. The provider is doing business as Donahue Eyecare and Great Lakes Vision Care.

Where is Monroe Vision Source, Plc located?

Monroe Vision Source, Plc is located at 750 Stewart Rd, Monroe, MI 48162. The listed phone number is (734) 242-8630.

What is Monroe Vision Source, Plc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Monroe Vision Source, Plc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Great Lakes Vision Care accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Monroe Vision Source, Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2125383) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Monroe Vision Source, Plc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Monroe Vision Source, Plc 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 Monroe Vision Source, Plc was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.