GREAT LAKES EYE CARE PC
NPI 1922002708
Ophthalmology in Saint Joseph, MI
About Great Lakes Eye Care Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT LAKES EYE CARE PC (NPI 1922002708), doing business as Great Lakes Eye Care, is a healthcare organization registered as an ophthalmology in Saint Joseph, Michigan and active in the NPI registry since June 2005. The organization maintains 3 additional practice locations and lists Brenda S. Jacks, Human Resources Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Great Lakes Eye Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Great Lakes Eye Care PC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 12 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (13)
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 Care PC's NPI number?
The NPI number for Great Lakes Eye Care PC is 1922002708. It was assigned to this organization in the NPPES registry on June 9, 2005. The provider is doing business as Great Lakes Eye Care.
Where is Great Lakes Eye Care PC located?
Great Lakes Eye Care PC is located at 2848 Niles Rd, Saint Joseph, MI 49085. The listed phone number is (269) 428-3300.
What is Great Lakes Eye Care PC's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Great Lakes Eye Care PC enrolled in Medicare?
Yes. Great Lakes Eye Care PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Great Lakes Eye Care PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Great Lakes Eye Care PC. 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 (8) and Optometry (5). Of these, 10 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Great Lakes Eye Care PC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Great Lakes Eye Care PC 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 Care PC was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.
# Great Lakes Eye Care Pc · NPI 1922002708
Ophthalmology organization in Saint Joseph, Michigan. Organization record, active in the CMS NPPES registry since June 9, 2005.
## Identity
- **NPI:** 1922002708 (Entity type: Organization)
- **Enumerated:** June 9, 2005
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Also known as:** Great Lakes Eye Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Brenda Jacks, HUMAN RESOURCES DIRECTOR
## Practice location
- **Address:** 2848 NILES RD, Saint Joseph, MI 49085-3352
- **Phone:** (269) 428-3300 · **Fax:** (269) 428-5005
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (8), Optometry (5); 10 practice at this address and 12 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2026
- **Other identifiers:** Medicaid 1878128 (MI); Medicaid 300013381 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1922002708) · Data from the CMS NPPES public registry.