GREAT LAKES INDEPENDENT EYECARE NETWORK LLC
NPI 1235487406
Exclusive Provider Organization in Vulcan, MI

Active since August 20, 2012
W4790 SKI VIEW RD, VULCAN, MI 49892(877) 488-8900(844) 810-8643 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2024, Apr 13, 2017 (2 updates tracked since 2017).

About Great Lakes Independent Eyecare Network Llc NPPES

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

GREAT LAKES INDEPENDENT EYECARE NETWORK LLC (NPI 1235487406) is a healthcare organization registered as an exclusive provider organization in Vulcan, Michigan and active in the NPI registry since August 2012. The organization lists Heidi L Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1235487406
Entity TypeOrganization
Primary Taxonomy302F00000X
Legal Business NameGREAT LAKES INDEPENDENT EYECARE NETWORK LLC
Location AddressW4790 SKI VIEW RDVulcan, MI 49892-8720
Mailing Address2425 Ludington St, Pmb 175Escanaba, MI 49829-1328 · (906) 466-9070 · Fax (906) 466-9071
Fax(844) 810-8643
Organization SubpartNo
Authorized OfficialHeidi L JohnsonPresident · (906) 228-4401
Enumeration DateAugust 20, 2012
Last NPPES UpdateApril 10, 20242 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
NPI 1235487406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyExclusive Provider OrganizationManaged Care Organizations
Taxonomy Code302F00000X
Definition
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
W4790 SKI VIEW RD, Vulcan, MI 49892

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 Independent Eyecare Network LLC's NPI number?

The NPI number for Great Lakes Independent Eyecare Network LLC is 1235487406. It was assigned to this organization in the NPPES registry on August 20, 2012.

Where is Great Lakes Independent Eyecare Network LLC located?

Great Lakes Independent Eyecare Network LLC is located at W4790 Ski View Rd, Vulcan, MI 49892. The listed phone number is (877) 488-8900.

What is Great Lakes Independent Eyecare Network LLC's specialty?

The primary specialty registered for this NPI is Exclusive Provider Organization with taxonomy code 302F00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Independent Eyecare Network LLC was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.