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GREAT LAKES EYE INSTITUTE
NPI 1992985840
Ophthalmology in Midland, MI

Active since November 08, 2007
407 W WACKERLY ST, MIDLAND, MI 48640(989) 631-1345(989) 631-5129 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2018, Mar 17, 2018, Feb 17, 2018 (3 updates tracked since 2018).

About Great Lakes Eye Institute NPPES

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

GREAT LAKES EYE INSTITUTE (NPI 1992985840) is a healthcare organization registered as an ophthalmology in Midland, Michigan and active in the NPI registry since November 2007. The organization maintains a secondary practice location in Midland and lists Farhad K Shokoohi, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1992985840
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameGREAT LAKES EYE INSTITUTE
Location Address407 W WACKERLY STMidland, MI 48640-4727
Mailing Address2393 Schust RdSaginaw, MI 48603-1334 · (989) 793-2820 · Fax (989) 793-9132
Phone(989) 631-1345
Fax(989) 631-5129
Organization SubpartNo
Authorized OfficialFarhad K ShokoohiMd/owner · (989) 793-2820
Enumeration DateNovember 8, 2007
Last NPPES UpdateAugust 17, 20183 updates tracked since enumeration
✔ NPI 1992985840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MI · 4301040619
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.
Also ListedOptometristTaxonomy 152W00000X · License 4301040619 (MI)
407 W WACKERLY ST, Midland, MI 48640
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Secondary Practice Location 1

Location 1407 W Wackerly StMidland, MI 48640-4727 · Phone (989) 631-1345 · Fax (989) 631-5129

Other Identifiers 1

Other1427090976MI · Group Npi

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

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 1992985840. It was assigned to this organization in the NPPES registry on November 8, 2007.

Where is Great Lakes Eye Institute located?

Great Lakes Eye Institute is located at 407 W Wackerly St, Midland, MI 48640. The listed phone number is (989) 631-1345.

What is Great Lakes Eye Institute's specialty?

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

When was this NPI record last updated?

The NPPES record for Great Lakes Eye Institute was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.