Great Lakes Eye Institute

NPI #1447434378 in Cass City, Michigan

Provider Information

NPI Number: 1447434378
Entity Type: Organization
Organization Name: Great Lakes Eye Institute
Primary Specialty: Ophthalmology
Enumeration Date: Dec 27, 2007
Last Updated: Jan 23, 2018

Practice Location

Address: 4624 HILL ST
City: Cass City
State: Michigan
ZIP Code: 48726-1119
Phone: (989) 872-3800

Authorized Official

Name: FARHAD SHOKOOHI, MD
Title: OWNER/MD
Phone: (989) 793-2820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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