GREAT LAKES EYE CARE
NPI 1922002708
Ophthalmology in Saint Joseph, MI

Active since June 09, 2005
2848 NILES RD, SAINT JOSEPH, MI 49085(269) 428-3300(269) 428-5005 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 26, 2023, Aug 23, 2021 (2 updates tracked since 2021).

About Great Lakes Eye Care NPPES

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

GREAT LAKES EYE CARE (NPI 1922002708) is a healthcare organization registered as an ophthalmology in Saint Joseph, Michigan and active in the NPI registry since June 2005. The organization lists David Locke Cooke, President Owner, as its authorized official.

NPPES Registry Identity

NPI1922002708
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameGREAT LAKES EYE CARE PC
Location Address2848 NILES RDSaint Joseph, MI 49085-3352
Mailing Address2848 Niles RdSaint Joseph, MI 49085-3352 · (269) 428-3300 · Fax (269) 428-5005
Fax(269) 428-5005
Organization SubpartNo
Authorized OfficialDavid Locke CookePresident Owner · (269) 428-3300
Enumeration DateJune 9, 2005
Last NPPES UpdateJanuary 26, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
NPI 1922002708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 4301046231
Definition

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.

2848 NILES RD, Saint Joseph, MI 49085

Other Names 1

Doing Business AsGreat Lakes Eye Care

Other Identifiers 1

Medicaid1878128MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 16

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

Nurse Anesthetist, Certified Registered
2848 NILES RD
SAINT JOSEPH, MI 49085
Ophthalmology
2848 NILES RD
SAINT JOSEPH, MI 49085
Clinic/Center (Ambulatory Surgical)
2848 NILES RD, SUITE B
SAINT JOSEPH, MI 49085
Optometrist
2848 NILES RD
SAINT JOSEPH, MI 49085
Ophthalmology
2848 NILES RD
SAINT JOSEPH, MI 49085
Ophthalmology
2848 NILES RD
SAINT JOSEPH, MI 49085
Optometrist
2848 NILES RD
SAINT JOSEPH, MI 49085
Ophthalmology
2848 NILES RD
SAINT JOSEPH, MI 49085

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922002708, enumerated as an "organization" on June 09, 2005.

The provider is located at 2848 NILES RD SAINT JOSEPH, MI 49085 and the phone number is (269) 428-3300.

Ophthalmology with taxonomy code 207W00000X.

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.