GREAT LAKES EYE INSTITUTE
NPI 1346424272
Ophthalmology in Alma, MI
NPI Status: Active since December 27, 2007
Contact Information
623 W WARWICK DR
SUITE 1
ALMA, MI
ZIP 48801
Phone: (989) 463-1126
Fax: (989) 463-6013
- Organization
- Ophthalmology
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 23D2119790
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 10-03-2026
About GREAT LAKES EYE INSTITUTE
This page provides the complete NPI Profile along with additional information for Great Lakes Eye Institute, a provider established in Alma, Michigan operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1346424272 assigned on December 2007. The practitioner's primary taxonomy code is 207W00000X with license number 4301040619 (MI). The provider is registered as an organization and their NPI record was last updated 8 years ago. Great Lakes Eye Institute operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Farhad Shokoohi Md (Owner/md)
- NPI
- 1346424272
- Provider Name
- GREAT LAKES EYE INSTITUTE
- Entity Type
- Organization
- Location Address
- 623 W WARWICK DR SUITE 1 ALMA, MI 48801
- Location Phone
- (989) 463-1126
- Location Fax
- (989) 463-6013
- Mailing Address
- 2393 SCHUST RD SAGINAW, MI 48603
- Mailing Phone
- (989) 793-2820
- Mailing Fax
- (989) 463-6013
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-27-2007
- Last Update Date
- 01-23-2018
- Code Navigator
Ophthalmologists like Great Lakes Eye Institute specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Great Lakes Eye Institute is a medicare supplier with PTAN 20630357 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301040619
- License State
- MI
- Taxonomy Description
- An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 152W00000X | Eye and Vision Services Providers | Optometrist |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0467800006 | OTHER (01) | MI | ADMINASTAR |
| CA3610 | OTHER (01) | RAILROAD MEDICARE | |
| 180G310710 | OTHER (01) | MI | BLUE CROSS BLUE SHIELD |
| 0G36036 | OTHER (01) | MEDICARE | |
| 180G300890 | OTHER (01) | MI | BLUE CROSS BLUE SHIELD |
| 180G300890 | OTHER (01) | MI | BLUE CARE NETWORK |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20630357
- Accepts Medicare Assignment
- YES
- Specialities List
- Optician.
- Provider Type List
- PHYSICIAN – OPHTHALMOLOGY.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
- Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D2119790
- Facility Type
- Home Health Agency
- Certificate Effective Date
- October 04, 2024
- Certificate Expiration Date
- October 03, 2026
- Laboratory Director
- JASON W. LAING
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Great Lakes Eye Institute to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1346424272, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346424272, enumerated as an "organization" on December 27, 2007.
The provider is located at 623 W WARWICK DR SUITE 1 ALMA, MI 48801 and the phone number is (989) 463-1126.
Ophthalmology with taxonomy code 207W00000X.
The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare and Blue. Please consult your insurance carrier or call the provider to verify.
