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

Q: 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.

Q: What is Great Lakes Eye Care PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

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: August 16, 2026.

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

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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

Phone(269) 428-3300

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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.

DR. BENJAMIN P NICHOLSON M.D., M.A.

Ophthalmology (Retina Specialist)

2848 NILES RD
SAINT JOSEPH, MI 49085

Berrien County (269) 428-3300

GREAT LAKES SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)

2848 NILES RD, SUITE B
SAINT JOSEPH, MI 49085

Berrien County (269) 428-3304

NICHOLAS GEORGE KEINATH OD

Optometrist

2848 NILES RD
SAINT JOSEPH, MI 49085

Berrien County (269) 428-3300

DR. JENNA ELISE STODDARD OD

Optometrist

2848 NILES RD
SAINT JOSEPH, MI 49085

Berrien County (269) 428-3300

DR. DANIEL JAMES VAN ELK OD

Optometrist

2848 NILES RD
SAINT JOSEPH, MI 49085

Berrien County (269) 428-3300

LAKESHORE ANESTHESIA STAFFING LLC

Nurse Anesthetist, Certified Registered

2848 NILES RD
SAINT JOSEPH, MI 49085

Berrien County (269) 932-4388

DR. DAVID NEAL BROWN M.D.

Ophthalmology

2848 NILES RD
SAINT JOSEPH, MI 49085

Berrien County (269) 428-3300

DR. DUANE ALLEN TOLSMA O.D.

Optometrist

2848 NILES RD
SAINT JOSEPH, MI 49085

Berrien County (269) 428-3300

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.

What insurance does Great Lakes Eye Care PC accept?

Health plans from 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 January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.