GREAT LAKES EYE INSTITUTE
NPI 1427090976
Ophthalmology - Retina Specialist in Saginaw, MI
NPI Status: Active since June 11, 2006
Contact Information
2393 SCHUST RD
SAGINAW, MI
ZIP 48603
Phone: (989) 793-2820
Fax: (989) 793-9132
- Organization
- Ophthalmology
- Retina Specialist
- Accepts Insurance
- CLIA Number: 23D1059394
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 09-27-2026
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 Saginaw, Michigan operating as a Ophthalmology, focusing in retina specialist . The healthcare provider is registered in the NPI registry with number 1427090976 assigned on June 2006. The practitioner's primary taxonomy code is 207WX0107X with license number 4301102705 (MI). The provider is registered as an organization and their NPI record was last updated one year ago. Great Lakes Eye Institute operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Farhad Kayvan Shokoohi M.d. (Owner)
- NPI
- 1427090976
- Provider Name
- GREAT LAKES EYE INSTITUTE
- Entity Type
- Organization
- Location Address
- 2393 SCHUST RD SAGINAW, MI 48603
- Location Phone
- (989) 793-2820
- Location Fax
- (989) 793-9132
- Mailing Address
- 2393 SCHUST RD SAGINAW, MI 48603
- Mailing Phone
- (989) 793-2820
- Mailing Fax
- (989) 793-9132
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-11-2006
- Last Update Date
- 09-29-2025
- Code Navigator
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 Retina Specialist
- Taxonomy Code
- 207WX0107X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301102705
- License State
- MI
- Taxonomy Description
- An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
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 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | 43010040619 (MI) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze Saver HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
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 |
|---|---|---|---|
| 180G300890 | OTHER (01) | MI | FEDERAL EMPLOYEES PROGRAM BLUE CROSS |
| 180G300890 | OTHER (01) | MI | BLUE CARE NETWORK |
| 180G300890 | OTHER (01) | MI | BLUE CROSS BLUE SHIELD |
| 0G36036 | OTHER (01) | MEDICARE | |
| CA3610 | OTHER (01) | MI | RR MEDICARE |
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
- 23D1059394
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- September 28, 2024
- Certificate Expiration Date
- September 27, 2026
- Laboratory Director
- FARHAD K. SHOKOOHI
- 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.
Reviews for GREAT LAKES EYE INSTITUTE
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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 1427090976, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
SAGINAW, MI 48603
SAGINAW, MI 48603
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427090976, enumerated as an "organization" on June 11, 2006.
The provider is located at 2393 SCHUST RD SAGINAW, MI 48603 and the phone number is (989) 793-2820.
Ophthalmology with taxonomy code 207WX0107X and a focus in Retina Specialist.
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
