GREAT LAKES EYE INSTITUTE
NPI 1427090976
Ophthalmology - Retina Specialist in Saginaw, MI

Active since June 11, 2006
2393 SCHUST RD, SAGINAW, MI 48603(989) 793-2820(989) 793-9132 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Great Lakes Eye Institute NPPES

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

GREAT LAKES EYE INSTITUTE (NPI 1427090976) is a healthcare organization registered as a retina specialist in Saginaw, Michigan and active in the NPI registry since June 2006. The organization lists Farhad Kayvan Shokoohi, Owner, as its authorized official.

NPPES Registry Identity

NPI1427090976
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameGREAT LAKES EYE INSTITUTE
Location Address2393 SCHUST RDSaginaw, MI 48603-1334
Mailing Address2393 Schust RdSaginaw, MI 48603-1334 · (989) 793-2820 · Fax (989) 793-9132
Fax(989) 793-9132
Organization SubpartNo
Authorized OfficialFarhad Kayvan ShokoohiOwner · (989) 793-2820
Enumeration DateJune 11, 2006
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1427090976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in MI · 4301102705
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 43010040619 (MI)
2393 SCHUST RD, Saginaw, MI 48603

Other Identifiers 5

Other180G300890MI · Federal Employees Program Blue Cross
Other180G300890MI · Blue Care Network
Other180G300890MI · Blue Cross Blue Shield
Other0G36036Medicare
OtherCA3610MI · Rr Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Lakes Eye Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20031117000655Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Great Lakes Eye Institute, which bills Medicare for the services they deliver. Of these, 12 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Ophthalmology10
Optometry4

Clinicians, nearest first (14)

Ophthalmology
NPI 1689685463
2393 SCHUST RD
Saginaw, MI 48603
(989) 793-2820
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1306839535
2393 SCHUST RD
Saginaw, MI 48603
(989) 793-2820
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1518961556
2393 SCHUST RD
Saginaw, MI 48603
(989) 793-2820
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1629061841
2393 SCHUST RD
Saginaw, MI 48603
(989) 793-2820
✔ PECOSSame address
Ophthalmology
NPI 1114911351
2393 SCHUST RD
Saginaw, MI 48603
(989) 793-2820
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1477546240
2393 SCHUST RD GREAT LAKES EYE INSTITUTE
Saginaw, MI 48603
(989) 793-2820
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1275526048
2393 SCHUST RD GREAT LAKES EYE INSTITUTE
Saginaw, MI 48603
(989) 793-2820
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1427041045
2393 SCHUST RD
Saginaw, MI 48603
(989) 793-2820
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1295180214
2393 SCHUST RD
Saginaw, MI 48603
(989) 793-2820
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1780602763
2393 SCHUST RD
Saginaw, MI 48603
(989) 793-2820
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1699939751
2393 SCHUST RD
Saginaw, MI 48603
(989) 793-2820
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1275682015
2393 SCHUST RD
Saginaw, MI 48603
(989) 793-2820
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1013900612
GREAT LAKES EYE INSTITUTE 2393 SCHUST RD
Saginaw, MI 48603
(989) 793-2820
✔ PECOS✔ Accepts Medicare49 mi
Ophthalmology
NPI 1538158514
27450 SCHOENHERR RD SUITE 200
Warren, MI 48088
(586) 582-7860
✔ PECOS✔ Accepts Medicare84 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Institute's NPI number?

The NPI number for Great Lakes Eye Institute is 1427090976. It was assigned to this organization in the NPPES registry on June 11, 2006.

Where is Great Lakes Eye Institute located?

Great Lakes Eye Institute is located at 2393 Schust Rd, Saginaw, MI 48603. The listed phone number is (989) 793-2820.

What is Great Lakes Eye Institute's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Great Lakes Eye Institute enrolled in Medicare?

Yes. Great Lakes Eye Institute is registered in the Medicare PECOS enrollment system.

When is Great Lakes Eye Institute's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Great Lakes Eye Institute?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 2 Medicare specialties reassign their Medicare billing to Great Lakes Eye Institute. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (10) and Optometry (4). Of these, 12 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Great Lakes Eye Institute accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Great Lakes Eye Institute 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 Great Lakes Eye Institute was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.