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GREAT LAKES VISION REHABILITATION PLLC
NPI 1962118760
Optometrist - Vision Therapy in Shelby Township, MI

Active since January 25, 2023
48189 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317(586) 731-9725(586) 488-0006 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 31, 2023, Jan 25, 2023 (2 updates tracked since 2023).

About Great Lakes Vision Rehabilitation Pllc NPPES

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

GREAT LAKES VISION REHABILITATION PLLC (NPI 1962118760) is a healthcare organization registered as a vision therapy in Shelby Township, Michigan and active in the NPI registry since January 2023. The organization lists Aaron Nichols, Owner, as its authorized official.

NPPES Registry Identity

NPI1962118760
Entity TypeOrganization
Primary Taxonomy152WV0400X
Legal Business NameGREAT LAKES VISION REHABILITATION PLLC
Location Address48189 VAN DYKE AVEShelby Township, MI 48317-3268
Mailing Address48189 Van Dyke AveShelby Township, MI 48317-3268 · (586) 731-9725
Phone(586) 731-9725
Fax(586) 488-0006
Organization SubpartNo
Authorized OfficialAaron NicholsOwner · (734) 578-8598
Enumeration DateJanuary 25, 2023
Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
✔ NPI 1962118760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
48189 VAN DYKE AVE, Shelby Township, MI 48317
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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

Other Providers at the Same Location NPPES 2

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

DR. DANNA HABA OD, FCOVD
Optometrist (Occupational Vision)
48189 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48317
Macomb County (586) 731-9725
DR. AARON NICHOLS OD
Optometrist
48189 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48317
Macomb County (586) 731-9725

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 Vision Rehabilitation PLLC's NPI number?

The NPI number for Great Lakes Vision Rehabilitation PLLC is 1962118760. It was assigned to this organization in the NPPES registry on January 25, 2023.

Where is Great Lakes Vision Rehabilitation PLLC located?

Great Lakes Vision Rehabilitation PLLC is located at 48189 Van Dyke Ave, Shelby Township, MI 48317. The listed phone number is (586) 731-9725.

What is Great Lakes Vision Rehabilitation PLLC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

When was this NPI record last updated?

The NPPES record for Great Lakes Vision Rehabilitation PLLC was last updated on January 31, 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.