Great Lakes Independent Eyecare Network LLC
NPI #1235487406 in Vulcan, Michigan
Provider Information
- NPI Number
- 1235487406
- Entity Type
- Organization
- Organization Name
- Great Lakes Independent Eyecare Network LLC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Aug 20, 2012
- Last Updated
- Apr 10, 2024
Practice Location
Authorized Official
- Name
- HEIDI L JOHNSON, OD
- Title
- PRESIDENT
- Phone
- (906) 228-4401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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